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Photocopy Request Form

Date:



Please complete this form as fully as possible. Our aim is to provide an initial reply to your request within no more than two working weeks.

Name:
Address:
 
 
Town:
Post Code:
Country:
Email:
Fax:
Telephone:
 

Title of Cambridge publication:

Author Editor  

Name:



Book ISBN:
or  
Journal volume and issue no:

Permission Requested:

Material to be reproduced (give full details including author and article title where appropriate; page number(s) for extract / figure number(s) / etc.):


Number of copies:

Organisation undertaking photocopying if not requester:

Usage:

For inclusion in a course pack by an educational institution distributed free of charge or
at cost of photocopying only
For internal distribution by a not-for-profit company (not for resale)
For distribution by a commercial company internally or to clients (not for resale)
For commercial distribution


Further details:

 

 

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