Sample Publisher Copyright Permission Letter

Sample Letter:

[Date]

Materials Permission Department
[Publishers's Name]
123 Main Street
New York, NY 10012

To whom it may concern:

I am requesting your permission to duplicate the following article/chapter and to include it within my university’s course management system. All such electronic files exist behind a firewall and are available only for Olivet students enrolled in the particular course. I have [x] sections of [class code] called "[Name of Class]" in our [degree] program for which I would like to use this material starting in [month, year], for [x] semesters. Classes average between [#] and [#] students.

Article/Chapter Title:
Author:
Periodical/Book Title:
Issue:
Pages:

Please send a letter of permission to me at the address below along with any further requirements you may have. Thank you for your consideration.

Sincerely,

[Instructor's Name]
[Department]
Olivet Nazarene University
One University Avenue
Bourbonnais, Illinois 60914