Request Permission for Classroom Use (Course Packets and Electronic Reserves)

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HUP authors: For help on how to obtain permission to use verse, prose, art, maps, etc. in your own manuscripts, please see Permissions Guidelines for Authors.

You must fill out a separate copy of this form for each Harvard University Press work or course for which you are requesting permission.

About Your Request

This request is: *

A new request A reuse or expansion of an existing permissions agreement with HUP A follow-up or correction to an already-submitted permissions request

HUP Reference Number *

Requester Contact Information

Please separate multi-line addresses with a comma (,) or semicolon (;). For example: “123 Main Street, Smith Building, Suite 6F.”

Name * Institution/Organization/Company Email Address * Mailing Address * City * State/Province/Terr. * ZIP/Postal Code * Country *

We will respond by email to the address you gave above. In addition, will you need a hard copy of all correspondence? *

No. Correspondence by email is sufficient. Yes. I’ll need a hard copy of all correspondence.

Which Harvard University Press Book and Which Portions?

Please separate multiple author names with a comma (,) or semicolon (;). For example: “Jane White, John Black, and Kevin Brown.”

Book Title, Subtitle, and Edition * Year of Publication * Author Name(s) *

If you are requesting the use of more than one nonconsecutive selection (e.g., Introduction and Chapter 5), please itemize each below. Be sure to use the page numbers of the HUP edition of the work.

(If you are requesting an entire work that is otherwise unavailable for purchase, type “Entire Book” in the first “Selection Title” space and “N/A” or similar in the page range spaces, and include a note in the comments section at the bottom of the form.)

Selection Title or Description *	Beginning Page (#) *	Ending Page (#) *	Total Pages

[+] Add New Row [-] Delete Last Row

Proposed Use

Type of Use *

Photocopied Course Packet Electronic Reserve

Institution * Semester or Dates of Intended Use * Class/Workshop Number and Name * Name of Primary Instructor * Number of Students/Users *

Any Other Comments, Details, or Specifications

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