BOOK PERMISSION REQUEST FORM

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which will be published by John Libbey Eurotext Ltd, France in (1st, 2nd, 3rd, 4th quarter of year).

I am seeking your non-exclusive permission to reproduce or, if necessary, to redraw or modify the material listed below in this and in all subsequent editions of the book, in all languages, in other derivative works published by John Libbey Eurotext and in all media of expression now known or later developed, for distribution throughout the world. Full credit will be given to the original source.

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If you do not control the rights for the material for which I am hereby applying permission to reproduce, would you please kindly supply me with the name and the address of the person to whom my request should be directed.

With thanks in advance.

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