FSUS Copyright Infringement In-service - Florida State University

Sample Copyright Permission Letter
• Educational Institution Address
• Date
• Copyright and Permissions Department
Name of Publisher (Example: Pine Forge Press)
Street Address (Example: 2455 Teller Road)
City, State Zip (Example: Thousand Oaks, CA 91320)
• To Whom It May Concern:
• I am requesting permission to copy the following material for continued use in my classes in future semesters:
• Title of Book and Edition (Example: Second thoughts: seeing conventional wisdom through the sociological eye,
2nd edition)
• Copyright: Publishing Company Date (Example: Pine Forge Press, 2000)
• Author: (Example: Janet M. Ruane)
• Material to be copied: (Example: Chapter 17)
• Pages: (Example: 135-150)
• Number of copies: (Example: 25)
• Distribution: This copy will be distributed to students in my classes and they will pay only for the cost of photocopying.
• Type of reprint: (Example: Photocopy)
• Use: The chapter will supplement teaching materials.
• I have enclosed a copy of the copyright page to assist you in evaluating my request. Please inform me if there are any
fees for this copyright permission.
• I have enclosed a self-addressed envelope for your convenience in responding to my request.
•
• Sincerely,
•
• Name
Phone number
Email address
Fax number
Lorain County Community College, 2006