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Copyright Request
Requestor Information
Name
Organization/ Company
Email
Phone Number
Fax Number
Organization/ Company Address
Requested Material Information
Subject Area
Classroom Assessment
English Language Arts
Études sociales
First Nations, Métis and Inuit
Français langue première
Français langue seconde
International Languages
Mathematics
Mathématiques
Social Studies
Title of Material Requested
Copyright Year
Description of Material Requested
Such as page number(s), figure number, text only, opening and closing lines of text to be used, whole chapter, etc.
Reason for Request
Date Required By
(Format: yyyy-mm-dd)
Publishing Material Information
Title
Publisher
Author
Audience
Format
Print
CD-ROM
Online
Not Applied
Number of Copies
Cost
Free of charge
Non-profit (cost of materials and distribution only)
For profit
Publishing Website Information
Title of Website
Access of Website
Not Applied
Password-protected
Public
Cost of Access
For Profit
Free-of-charge
Non-profit (cost of materials and distribution only)
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