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Name / Organization

Email

Materials requested

Requested media

If the materials requested include any photos or images, please include links to them below.

Type of request

Publication Request

Author

Publisher

Publication title

Estimated publication date

Project description

Please provide a brief description of the project

Number of copies printed

Term of use

Unit price

Currency

USD
EUR
GBP
Other (please specify)

Other Currency

Language

Territory

Worldwide
Other (please specify)

Territory (other than worldwide)

Media/Format

Hardcover
Paperback
E-book
Audiobook
Other

Total number of pages

Number of pages devoted to the requested materials

Presentation Request

Venue/Occasion

Project description

Please provide a brief description of the project

Will the requested materials appear in visual aides?

Yes
No

Will the requested materials appear in handouts?

Yes
No

Number of printed copies

If yes to above, please indicate number of printed copies and percentage of handout devoted to the requested materials.

Additional information

Please provide any additional information below.

Other Request

Project description

Please provide a brief description of the project

Territories

Where, or in which territories, will the project take place or be made available?

How will the requested materials be used?

Please provide any additional information below

Website