AICPA Permission to Reprint Request Form

Permission to Reprint Request Form

Instructions

You may use this form to request permission to reproduce or reprint more than one copy of AICPA copyrighted material, and material published on our web site or the Accountant's Forum.
Do not use this form for translation rights, for requests to adapt AICPA material, or reprint licenses for whole books or booklets. To request such rights please write a detailed letter and send it to the address shown below. (Fax or e-mail is also acceptable.)
You do not need to request permission to quote or reproduce brief excerpts (generally, less than a page of printed material).
Fill out all information on this form that applies to your specific permission request. Please indicate the method of response you prefer: mail, fax, or e-mail.
Upon receipt of the request form, we will respond by sending you a Permission Agreement form (or refer you to the proper copyright holder in cases where AICPA does not hold copyright). If a fee is charged on the Permission Agreement form, and you agree to the terms of the permission grant and payment of the fee, your return of the completed form by e-mail will constitute acceptance of the agreement. Of course, a signed form returned by fax or mail is also acceptable. An invoice will be sent to you in approximately two weeks with a countersigned copy of the Permission Agreement form. You may reprint in the meantime if necessary to meet a deadline.


FROM:		RETURN TO: Permissions Editor AICPA Harborside Financial Center 201 Plaza III Jersey City, NJ 07311 Telephone: (201) 938-3297 or 938-3797 FAX: (201) 938-3780 E-mail: copyright@aicpa.org

Name:	_________________________________
Organization:	_________________________________
_____________________________________________
Address:	_________________________________
_____________________________________________
_____________________________________________
Telephone:	_________________________________
FAX:	_________________________________
E-mail:	_________________________________


I prefer response by:	Mail:	Fax:	E-Mail:

Please fill out all items that apply to your specific request. I hereby request permission to reprint/reproduce the following:
I.	For articles from periodicals (if more than one, please list):
	Article title:	_________________________________________________________
	_____________________________________________________________________
	Author(s):	_________________________________________________________
	Publication:	_________________________________________________________
	Date of issue (month and year):	_________________________________________________________

II.	For excerpts from books (list title, page numbers, sections, paragraphs or exhibits):
	_____________________________________________________________________
	_____________________________________________________________________
	_____________________________________________________________________
	_____________________________________________________________________
	_____________________________________________________________________
	Copyright year or date of issue:	_________________________________________________________

III.	Purpose of reproduction/reprint:
	Material will be used as follows:


		Handouts in class as part of a college or university course.
		Name of class:	______________________________________________
		Instructor's Name:	______________________________________________
		Semester:	______________________________________________
		Number of copies:	______________________________________________

		Mailing or distribution to clients, staff, other (explain)
		Number of copies:	______________________________________________

		Handouts at a conference/seminar or professional course.
		Name of conference/seminar/course:	______________________________________________
		___________________________________________________________________
		Date(s) held:	______________________________________________
		Sponsoring organization:	______________________________________________
		Number of copies:	______________________________________________

		Reprint in textbook, manual, tradebook, magazine or newsletter,bound collection of readings, course packet for educational use.
		Other (explain):	______________________________________________
		___________________________________________________________________
		Title of your publication:	______________________________________________
		___________________________________________________________________
		Publisher:	______________________________________________
		Publication Date:	______________________________________________
		Number of copies to be printed or circulation size:	______________________________________________
		Total number of pages of your publication:	______________________________________________
		AICPA material will comprise ______ pages or ___ % of proposed publication.

		Other (explain):	______________________________________________
		___________________________________________________________________
		___________________________________________________________________
		___________________________________________________________________
		___________________________________________________________________