Permissions Request Form
Request to reprint material from one of our Algonquin or Algonquin Young Readers books.
Information about our book
Detailed description of the material you’d like to reprint including page numbers from our book
Please include a photocopy of the material in context. (PDF only)
Information about your project
Other (explain below)
Usage Requested: Other
Expected Date of Publication
Type of Format
Expected print run (or copies needed)
If multiple formats, indicate the quantity of each.
Territory of distribution (e.g., US & Canada, World, etc.)
If the request is for a course pack, please specify the course and semester
Any other important information about your project
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