Request to reproduce


An article entitled "name of article", written by [name
of author], appeared in your [date] issue of [periodical],
which found to be both informative and applicable to
our business.

We are requesting your permission to reproduce an abstract
from this article, with the appropriate acknowledgment,
to be used in our current brochure.

If this meets with your approval, would you please send
us a notice of authorization.

We are happy to provide these forms as a free service to the entire Internet community. However, please understand that these forms are general and not state specific. For a great collection of state specific forms go to