HOWE BOARD OF EDUCATION POLICY                         EFEA-E2

PERMISSION RELEASE FOR COPYRIGHTED MATERIALS
 

  Date   ________________________

Firm   ________________________

Address   _____________________

 

School   ____________________________________________________

Address   ___________________________________________________

Telephone   _________________________________________________

Person making request  _______________________________________

To Whom It May Concern:

We would like to request permission to copy the following copyrighted materials:

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Number of copies to be made   _________________________________

Copy medium  ______________________________________________

Use of copies   ______________________________________________

Thank you for your cooperation.

  Sincerely,

PRODUCER'S REPLY

Permission is hereby:   _______ granted.   _______ denied.

Details:   (include fees, limitations, etc.)

_______________________________________________________________

_______________________________________________________________

Signature   ______________________________________________

Title   __________________________________________________

Date   __________________________________________________

              Adoption Date: May 19, 2003

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