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WELCOME TO OUR WEBSITE <---> FALL SALE IS GOING ON NOW! <---> CELEBRATING 43 YEARS OF EXCELLENCE IN PUBLISHING ---> SOME OF OUR TITLES ARE AVAILABLE IN IRAN. CONTACT: FARHANG MOASER, 154 DANESHGAH AVE., TEHRAN, IRAN. Tel. 66 46 5756. --->

Reprint Permission Request Form

Please provide the information below to request permission to reprint a text passage or image from a Mazda Publishers book. Permission will be granted for only one print version of your publication and any other use requires additional permission.

 I- YOUR CONTACT INFORMATION

 Contact Name:
 Affiliations:
 Address:
 City:
 State/Province:
 Zip/Postal Code:
 Country:
 Phone:
 Fax:
 E-mail:

 II- MAZDA PUBLISHERS BOOK INFORMATION

 Book Title:
 Author/Editor:
 Chapter and page numbers:
 Photo, figure, map, or table numbers:

 III- YOUR PUBLICATION INFORMATION:

 Book Title:
 Author/Editor:
 Publisher:
 Nonexclusive Market: [ ] World; [ ] United States; [ ] North America; [ ] Others.
 Publication Date:
 Format (cloth, paper, both, other):
 Number of pages in your publications:
 Print run of each edition:
 List price of each edition:
 If this is a translation request, which language will you be translating into?

 Please mail or e-mail your request to:
 Mazda Publishers, Inc.
 P.O. Box 2603
 Costa Mesa, CA 92628-2603
 Phone: (714)751-5252
 Fax: (714)751-4805
 e-mail: mazdapub@aol.com

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