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Mr. Frederick T. Courtright THE PERMISSIONS COMPANY LLC 6101 Old Court Road #139 Boca Raton, FL 33433 permdude@eclipse.net Please fill out as completely as possible, and allow 4-6 weeks for a response. Note that we cannot grant all-languages/all editions permissions. Also note that, as a matter of policy, we do not grant permission for our clients’ translations to be further translated. DATE: _________________________ NAME: ____________________________________________________ MAILING ADDRESS: ________________________________________ ________________________________________ FAX: ____________________________________________ PHONE: _________________________________________ EMAIL: __________________________________________ If acting on behalf of another party, the name and address of the contracting party for the license: TITLE, AUTHOR, AND PUBLISHER (IF PUBLISHED) OF THE WORK YOU WISH TO USE: DESCRIPTION OF THE MATERIAL. IF USING EXCERPTED MATERIAL, PLEASE INCLUDE A COPY WITH YOUR REQUEST
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