[PERMISSIONS LETTER FOR BORROWED TEXT AND PREVIOUSLY PUBLISHED IMAGES] [ENTRIES IN BRACKETS ARE TO BE COMPLETED BY YOU; CONSULT YOUR EDITORIAL CONTACT IF YOU HAVE QUESTIONS. SEND TO THE COPYRIGHT HOLDER ELECTRONICALLY OR IN DUPLICATE HARD COPY ALONG WITH A SELF-ADDRESSED STAMPED ENVELOPE. MAKE SURE THESE INSTRUCTIONS AND ANY OTHER BRACKETED DIRECTIONS OR UNUSED OPTIONS ARE DELETED BEFORE PRINTING. NOTE: PAGE TWO OF THIS LETTER WILL NOT STAND ON ITS OWN; BOTH PAGES MUST BE SUBMITTED TO UC PRESS TO DOCUMENT THIS AUTHORIZATION.] Date Grantor Name Address FAX: Email: Permissions Request University of California Press, a non-profit scholarly publisher affiliated with The Regents of University of California, is preparing the following title for publication: Book Title [Edition if applicable] by [or edited by] Author/Editor Name Publication Date: _________ Est. Number of Pages: ________ Est. List Price: __________ Est. First Printing: ___________ Edition: [Scholarly / trade] Binding: [Hardcover / Paperback] Territory: [World/ US, Canada, Mexico] Language: [All languages / English only] I am requesting non-exclusive reprint rights to include the following material for which I understand you hold the copyright in the above book (a photocopy of this material is included for your reference): [Insert complete identifying information including source title, volume or edition, author, page/figure/table number, copyright holder and copyright year.] In addition to the right to use your material in the first and all subsequent editions of the book cited above, I am requesting the following related rights: [CONFIRM APPLICABLITY OF EACH WITH YOUR EDITORIAL CONTACT] ● Use within limited print and electronic excerpts from the book reproduced without charge for promotional purposes, including the right to display the material as it appears in the print version of the book in limited-access, "search inside" type on-line, readonly formats; ● Use of this material in unenhanced, non-dramatic electronic editions of the book designed to be read in a linear fashion (an ebook editions); ● Use in verbatim formats of the book created to comply with state and federal laws and regulations regarding accessible versions for use by individuals with disabilities who would otherwise be prevented from using the material; ● Promotion and publicity uses in connection with the book; ● Cover and catalog use For your convenience, you may grant permission for the uses described in this letter by signing below. Separate authorizations and/or invoices should be made out to me and returned to my attention in the self-addressed envelope enclosed. This publication is intended for sale to libraries, scholars, students, and interested general readers on a non-profit basis [and I will receive no royalties on the first edition of the book]. I would be most grateful if you agree to waive or reduce your standard permissions fees in return for a complimentary copy of the book. Page 1 of 2 v.12.7.15 Please advise me if you do not hold the copyright to the material in question, and if at all possible provide me with contact information for the current copyright holder. Your prompt attention to this matter will be greatly appreciated. Sincerely, [NAME] [YOUR TITLE AND AFFILIATION] [YOUR ADDRESS] [PHONE] Permission is granted for use of material from [GRANTOR’S BOOK TITLE AND AUTHOR] as specified in permissions request letter dated [DATE OF THIS PERMISSIONS REQUEST]: _______________________________________________________________________________________________ Name and title: ___________________________________________________________________________________ Date:_______________________ Terms:__________________________________________________________________________________________ Credit line: ______________________________________________________________________________________ ________________________________________________________________________________________________ Page 2 of 2 v.12.7.15