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Get Request For Permission To Arrange

Tions This form is to be prepared in duplicate. After completing PART 1 and signing both copies where indicated, forward both to the publisher who will complete PART II of the form and return it to you. If the publisher indicates a payment for the right you request, and if the conditions are agreeable to you, remit the amount to the publisher together with the original copy, which they will have signed, whereupon the agreement will be completed. To:______________________________________________.

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