Copyright Permission Services - CoursePak Order Form

Specifications:

Color section dividers

Printed single sided

Printed double sided

Bound: Spiral

Bound: Staple

Bound: 3-hole punch

Bound: Shrink wrap

Does this contain copyrighted work?: *

Yes

No

Do you have permission from all copyright holders to make multiple reproductions?:

Yes (Written permission must be shown.)

No (Complete the Permission Request Form.)

This request conforms to Fair Use guidelines.:

Yes

No

(Must complete Fair Use Checklist for file.)

If request is Fair Use, has the material been used before?:

Yes

No

This request is for Digital Delivery of material.:

Yes

No

This request is for Distance Education.:

Yes

No