Network - Permissions Request Form

Aquatics

Children's
Exercise

Dance

Flexibility &
Massage

Health &
Wellness

Health
Promotion

Nutrition

Older Adults

Personal
Training

Sports

Sports
Psychology

Strength &
Conditioning

Permissions Request Form

If you wish to copy materials for use in a school course packet or to make multiple copies for other classroom use, you do not need to fill out this form--instead, contact the Academic Permissions Service of the Copyright Clearance Center, Inc. APS may be contacted by calling 978-750-8400 or faxing 978-750-4470. Their mailing address is 222 Rosewood Drive, Danvers, MA 01923.

If you wish to use any HK materials (print or otherwise) on your Web site, please contact the HK Publicity Manger at reteshat@hkusa.com.

For all other requests, please use the form below.

1.Requester Information:

Name:
Department:
School or company:
Address 1:
Address 2:
City:
State or province:
Postal Code:
Country:
Telephone:
Fax:
Email address:
Web address:

2. Material Requested

ISBN:
Authors:
Title and subtitle:
Edition:
Copyright year:
Date response needed by:
Description of material:	* Please make sure to include page numbers, figure numbers, description of text or other items you wish to use, or any special use.

3. If you wish to use HK materials in material produced by another publisher --e.g., books, journals, newsletters --please provide the following information about that material:

Proposed formats:	Print edition Promotional material Transparencies Computer disk Web site CD-ROM Videotape Audio Broadcast
Rights:	Please specify other language:
Please specify number of copies:
Copyright year:
Binding:
Price:
Print run:
Author or editor names (first and last):
Publisher:
Title:
If you wish to use HK material for a purpose other than those listed in #3 above, please describe the nature of your intended use:
Please provide any additional information that would clarify and expedite your request:

Questions? Contact Human Kinetics Australia: Phone: (08) 8372-0999; Fax: (08) 8372-0998; info@hkaustralia.com
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