Journals Permission Request Form
Please complete this form to begin the process of the journals permission request.
Sign in to Google to save your progress. Learn more
Last Name *
Given Name(s) *
Street Address *
City *
Province/State *
Postal Code/ZIP Code *
Email Address *
Phone Number *
Which journal are you requesting permissions for? *
Required
Title of Article(s) Requested *
Title of Publication *
Editor(s) or Author(s) (Requested For) *
Expected Date of Publication *
MM
/
DD
/
YYYY
Publisher *
Unit Price *
Currency *
Print Run (Number of Copies) *
What is the format of the publication? *
Is there an online database? *
If yes, is the online database password protected?
Clear selection
Will it be included in an online syllabus? *
If yes, what is the anticipated number of users for this syllabus?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy