Request for permission to reprint material

Directions

1. Note! This is not an electronic form! Key in the form
2. Hit the “print” button on your browser
3. Sign where appropriate and send to: (along with all attachments)

To:

Last name (if known)
First name (if known)
Title (if known)
Company
Street address
City
State
Zip+4
Phone

From:

Author last name (if known)
Author first name (if known)
Street address
City
State
Zip+4
Phone
Date

Dear Copyright holder:

I am preparing a book manuscript to be published by SAE International that is tentatively titled:

and that has an estimated publication date of .

I request your permission to use the following material in this and all subsequent editions of my book, including all foreign-language translations, published by SAE International or its licenses for distribution throughout the world. I also request permission for possible use of the material in conjunction with the promotion of my book.

Please indicate your agreement by signing and returning this letter. In signing, you warrant that you/your organization are/is the sole copyright owner(s) of this material and that said copyright does not infringe on the copyright or other rights of anyone else. If you do not control these rights, I would appreciate your letting me know to whom I should apply.

Thank you.

Sincerely,

Signature _________________________

Text Material

Authors/editors

Title of book/periodical/selection

From page , line , beginning with the words
to page , line , ending with the words .

Artwork

Figure nos. on pages
Table nos. on pages .

Other

Agreed to and accepted by:

Last name
First name
Title
Date

Signature _________________________

Check one if permission is granted:

No specific credit line or acknowledgement is necessary or desired.

Mention of my name / company name (circle one or both) on the acknowledgements or copyright page of the book is sufficient.

Include a credit line of the following simplified form which is SAE’s standard format: XYZ Widge Company.

Include a credit line to be worded as follows:

Author and publisher use only

Please identify which text passage/figures/tables in your submitted manuscript correspond to those referenced above.

Original source
(e.g., page/figure number)

Appears in manuscripts as
(e.g., Figure number/Table number

- Click the "print" button on your browser.
- Sign where appropriate and mail or fax the form with your attachments.

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