Applying for permission to use content from a Wesleyan University Press title. If you have trouble with the form or anything is unclear, please email us. Please enable JavaScript in your browser to complete this form.Requester Name *FirstLastAdress 1Address 2Address 3PhoneFaxEmail *Primary Author or Editor *FirstLastAuthor of the work you are seeking permission to use.TitleNote the chapter, poem, or page numbers, and the title of the book. Example: “Work” from Neon Vernacular.PublicationTitle of your work, where you intend to use the excerpted material.To be published byName of publisher requesting permission.Special ConditionsPlease explain the reprint rights you are seeking. Ebook and print? Word rights or for a specific territory? How many copies of your publication will be printed?Expected Publication DateContent being requested (specific poem, chapter, image or pages)Submit If you have trouble with the form or anything is unclear, please email us.