Planning and Reporting a Training Session

Copyright Permission Form

Date

______________________

Dear Sir or Madam:

I would like permission to copy the following for continued use in a training seminar:

Article:

Issue:

Author:

Material to be duplicated: pp.

Number of copies:

Type of reprint:

Use: (The article will be used as supplementary teaching material.)

Enclosed is a self-addressed envelope for your convenience in replying to this request.

Sincerely,

Jane Doe

Librarian