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Your Class/Course Pack request may be submitted electronically by filling out and submitting this form, or you may print this page and mail or fax your request to:

Permissions Manager
The University of Arizona Press
Main Library Building, 5th Floor
1510 E. University Blvd.
P.O. Box 210055
Tucson, AZ 85721-0055
Fax: 520-621-8899
permissions@uapress.arizona.edu

Class/Course Pack Permission Request

ITEMS HIGHLIGHTED IN RED ARE REQUIRED

Name of Requestor:
Email Address:
  Please note: We will only use your email address if we need to contact you about this request. We will not use it to send you unsolicited commercial email.
Address Line 1:
Address Line 2:
City:
State:
Postal Code:  (enter NONE if not applicable)
Country:
Phone:
Fax:
Class Information
Professor Name:
Professor Title:
Institution:
Department:
Class Name:
Term/Semester:
Num of Course Packs:
Number that are being produced
Book Information
Title of Book:
The title of the U of A Press book for this request
Author of Book:
The author of the U of A Press book for this request
Title of Chapter:
From the book (if applicable)
Author of Chapter:
From the book (if applicable)
Page number(s):
Date Response Requested By:
mm/dd/yyyy format
Comments:
 
  


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