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Copyright Request

Request permission to use or share AMTA's copyrighted material.

About you

Full Name Required

Company Optional

Address Optional

Optional

City Optional

State Optional

ZIP Code Optional

Email Required

Phone Required

Fax Optional

I am an AMTA member

Yes

Materials requested

Materials

Article

Photo/illustration

Other

Publication Optional

Article title Required

Pages Optional

# of copies & copying method Optional

Describe how you plan to use the copyrighted material.

“I request permission to copy the listed material for the following use…”

Proposed use Optional

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