BHC Press Permissions Request Form

BHC Press Permissions Request Form
Your Contact Information
Name*

First NameLast Name
Address*

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Phone Number*

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Email*
example@example.com
BHC Press Title Information
Author*
Title of Book*
ISBN *
Include text excerpt you are requesting permission to use in this box.*
Page Number(s) Where Excerpt Is Located*
Approximate Word Count of Excerpt*
Where will the excerpt be used?*
If excerpt will be used in a print or ebook also provide the following information
Publisher
Expected Publication Date
Book Format(s)
Print Run or estimated total copies through print-on-demand
Price
Page Count
If ebook only, what is desired length of license? (Typically 5 years)
Additional Information
Please do not submit any requests for images or photographs. We do not grant that type of permission request.
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