Brookes Publishing Co.

We accept permission requests for limited reuse of our copyrighted material. To make a request, please fill out our Permission Request Form below. If you prefer, you can print the form and fax it to 443-279-0976 or mail it to:

Rights & Permissions Coordinator
Brookes Publishing
P.O. Box 10624
Baltimore, MD 21285-0624

Before you submit a request, please note the following:

• Be sure the material belongs to Brookes. If the material is credited to another source, please direct your request to the other party.
• Permission is granted on a non-exclusive, one-time-use only basis.
• Fees are determined by the type of request and the amount of material requested.
• Requests typically take a minimum of 4 to 6 weeks to process. Please do not contact us to follow up unless it’s been at least 6 weeks since you submitted your request. (After 6 weeks, you can fax a note to 443-279-0976 or email rights@brookespublishing.com.)

After our Permissions Department reviews your request, you’ll be faxed or mailed a permission agreement detailing any fees or other conditions of use. (Permission is not granted via email or telephone.) If a fee has been assessed, full payment is due on or before publication or use. Please make your check payable to Brookes Publishing and send it to the address listed above. Your payment should reference your permission invoice/tracking number or be accompanied by a copy of your permission agreement.

Permissions Request Form

1. What Brookes Publishing material are you requesting permission to use?

1. Book/product title(required)
2. Author(s)/editor(s)(required)
3. ISBN
4. Copyright year
5. Edition
6. Name or description of item (see examples below)(required)
7. Page number(s)
8. Examples: "Figure 19: Cumulative number of words addressed to the child" or "Introducing the Idea of a Word" activity pr "Chapter 6: Premature and Small-for-Dates Infants" or "Guidelines for Working with an Interpreter" from Chapter 3.

2. Have you previously received permission from Brookes to use this material?

2. No Yes
3. If yes, please provide the invoice or tracking number
4. If no invoice or tracking number is indicated, please provide a copy of the previous permission letter.

3. Will this material be

2. adapted used as-is

4. How will this material be used?

2. in a book (continue to question 5a.) in a journal article (continue to question 5a.) in a coursepack (continue to question 5b.) as a conference or seminar handout (continue to question 5c.) on a website (continue to question 5d.) other (continue to question 5e.)

5a. If the material will appear in a book or journal, please complete the following:

1. Book/journal title
2. Chapter/article title
3. Author(s)/editor(s)
4. Publisher (we will not grant permission until you have a publisher.)
5. Publication date (month and year)
6. Binding
7. hardcover paperback other (please specify)
8. Estimated print run (hardcover)
9. Estimated print run (paperback)
10. Estimated print run (other)
11. Total number of pages
12. Retail price (hardcover)
13. Retail price (paperback)
14. Retail price (other)
15. Subscription fee
16. Rights requested (e.g., world English, United States English, world all languages)

5b. If the material will be reprinted in a coursepack, please submit your request to Copyright Clearance Center (CCC) at www.copyright.com

1. Please complete the following only if the material is not available via CCC. Requests for material available through CCC will be returned to you.
2. College/university
3. Instructor
4. Course name
5. Course number
6. Semester and year
7. Number of packs

5c. If the material will be reprinted as a handout for a conference, seminar, or training, please complete the following:

1. (If your handout will also be posted on a website, please also complete 5d.)
2. Conference/seminar name
3. Presenter(s)/speaker(s)
4. Title of presentation
5. Date of presentation
6. Location of conference/seminar
7. Number of copies

5d. If the material will be posted on a website, please complete the following:

1. URL of website
2. Date material will be posted
3. Duration of posting (i.e., when the materials will be removed from the website)
4. Is the website password protected?
5. yes no

5e. If you selected "other" above, please provide us with a description of how the material will be used.

2. Quantity (if applicable)

6. Please provide us with your contact information so that we can send you a response.

1. Those outside the U.S., please make sure to include your country and city codes when providing us with contact numbers.
2. First name(required)
3. Last name(required)
4. Title
5. Institution
6. Address 1
7. Address 2
8. City
9. State Please select one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba Native Reservations New Brunswick Newfoundland North West Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon
10. Country
11. Zip/postal code
12. Daytime phone
13. Email address(valid email required)

7. Additional information or comments about your request

2. Please allow 4-6 weeks for your permission request to be processed.

 

cforms contact form by delicious:days