NCCAS Application for Copyright Permission

Please provide additional details around your planned publication.
Title of Publication *
Name of Author *
Name of Publisher *
Date of Publication *
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Number of pages *
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Projected retail cost of publication *
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Projected annual gross sales *
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Have you submitted a previous Copyright Permission Request? *

This is my first time applying I applied previously and was not granted permission I am renewing my persmission
By checking the box below, I certify that I am authorized to to submit this request. *
By checking the box below, I understand and acknowledge that my request is not complete until I have successfully submitted my $25.00 processing fee. *
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