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Article Reprint Request


First Name: 
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Organization Type:  Nonprofit
For Profit
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I am requesting permission to nonexclusive rights to reprint the Article/material described below:
Publication:  EARN
Article Title: 
Article Date: 
 
I will cite the following credit line:
From [Publication Title], by [Author], © [copyright year]. Used with permission from Impact Publications, Inc. PO Box 322, Waupaca, WI 54981. www.impact-publications.com. All rights reserved.
I am using the material exactly as it appears in the original publication

  OR

I would like to adapt the text of the material.
(If so please send a copy of the material as it will appear in your publication to: Impact Publications, Inc. PO Box 322, Waupaca, WI 54981.(715) 258-2448.
Please allow 10 to 15 business days for a response. If more information is needed or special arrangements are required, additional time may be needed to process your request.