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Permissions Letter Template
Dear :
I am writing to request permission to reproduce, in a forthcoming scholarly publication, the following material that you have published:
Author(s)/Editor(s):
Book or Journal Title:
Article Title:
Volume and issue no. if applicable:
Date of publication:
Pages as they appear in your publication:
Other identifying information, and/or remarks:
If you do not control the rights in this material, please let me know who does.
This material will be reproduced without alteration, unless otherwise indicated below, in the following work I am writing/editing, to be published by Southern Illinois University Press, described as the Press below:
Working title of book:
Anticipated date of publication:
Please note that this is a work of scholarship with a limited audience. To achieve broad dissemination of this work to scholars, we intend to use digital media in addition to print and languages beyond English. With that in mind, I request a non-exclusive license for the Press as follows:
Territory: Worldwide.
Language(s): English, plus the right to license translations of the book/article/essay with your material included.
Media: Print; media for people with reading-disabilities; and any other medium in which the Press may decide to issue or license others to issue the book/article/essay with your material.
Revisions: The forthcoming editions and all revised editions of the book.
Assignees: Assignable, but only as part of assignment of the book/journal as a whole.
I will acknowledge the source of your material in accordance with scholarly norms. If you require any particular form of acknowledgment, please let me know.
In setting a fee for the permission I request, please bear in mind the scholarly nature of this project and the fact that the Press is a not-for-profit publisher. I would be truly grateful if you would waive the fee altogether.
Thank you for your consideration of this request. A duplicate copy of this letter is enclosed for your convenience.
Sincerely yours,
Acknowledged and agreed.
Fee: Waived [or] $_____________
Remarks:
By: __________________ Date:
For the rightsholder
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