Print Permissions

For permission to reprint portions of our clients’ works in English or in translation, fill out this form. If the required fields are not completed with accurate information, we will not respond to your request. You will receive a confirmation message and email with details how to follow up if necessary. If you do not, please follow up with permissions@cbltd.com, or by mail to: Curtis Brown, Ltd. Attn: [Name of Author] 228 East 45th Street Suite 310 New York, NY 10017

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OUR TITLE/AUTHOR

YOUR CONTACT INFORMATION

Address*

YOUR PROJECT’S DETAILS

* If you are requesting rights for more than one format, please list the details for each format separately below.
Format(s) of distribution (Please check all that apply)*
Type of use (Please check all that apply):*
(If you are requesting rights for more than one (1) language, please fill out a separate form for each language)
(i.e. U.S., North America, world, etc.)

ADDITIONAL INFORMATION

Audio:

Website:

Database

Purpose of database:*

Any additional comments: