Journals Permission Request for Use of Image(s) or Text Excerpt(s)
Date:
Name of Rights Holder:
Address:
Dear Sir/Madam:
I, , am writing to request permission to reproduce the image(s) or excerpt(s)
listed below. I am not certain whether I need your permission for this, but I would prefer to have it:
e image(s) or excerpt(s) will accompany an essay, written by me, that will appear in a forthcoming issue
of , published times a year by Duke University
Press and made available to individual subscribers, libraries and other educational institutions.
is grant of permission includes non-exclusive worldwide publishing rights for use of the image(s) or
excerpt(s) identied above, in all media and formats, within the article to be included in the journal issue,
in whole or in part, with no time restriction.
If you do not control the copyright on the above material, I would appreciate contact information for the
proper rights holder(s). Otherwise, your consent conrms that you hold the right to grant the permission
requested here.
If you require any additional information, I can be reached at:
Nam
e/Title:
Address/Institution:
Telephone/Fax/Email:
Sincerely,
As rights holder of the above material, I grant permission for its use as described:
Signature: Date:
Title of work:
Please indicate below any preferences on how the credit(s) should read (note that the credit may be ed-
ited to conform to the journal’s style).
