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Request for Permission

NOTE: Fill in the information below IF you wish to submit a request for permission to use a copyrighted item. Providing complete information about your request will result in a faster reply.

What you'd like to use?

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Description of material you would like to use   required   list of hymn or page numbers, artwork, photos, etc.

Name and year of copyright holder

Name of author, editor, or composer   not necessary for hymns

Augsburg Fortress code number or ISBN  if applicable

How you'd like to use it?

Fill in EITHER the section for Local Use Request OR the section for Publisher Request.

Local Use Request

Event/Name of class

Date of use

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Publisher Request

Title of your publication

Number of Pages in your publication

What percent of your publication is comprised of our material?

Print Run

Price

Pub. Date

Please submit a sample via e-mail, fax or mail of how you would like to use our material (including changes or alterations).