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Please use this form when requesting permission to reprint any publication by PACER. You can either fill in this form and submit it via e-mail, or you may print this form out and fax or mail it in. Submission information is at the bottom of the form.


I am requesting permission to nonexclusive rights to reprint the PACER Center material described below:

I am requesting nonexclusive North American rights in the publication's original language to reprint the above-named PACER material as follows:

Project will be sold   


From [Publication Title], by [Author], © [copyright year]. Used with permission from PACER Center Inc., Minneapolis, MN, (952) 838-9000. All rights reserved.


Please allow 10 to 15 business days for a response. If more information is needed or special arrangements are required, additional time may be needed to process your request.


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