Copyright Permission Request Form – Registry of Interpreters for the Deaf

Name*
First Last
Email*
Institutional Affiliation*

Type "N/A" if not applicable.
Phone*
Voice or VP?*
- Voice
- VP
Delivery Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Title of publication*
Nature of your project/ intent with requested material*
Consent*
I agree to the copyright permission policy.
I hereby agree to only use the requested copyrighted material should my request be approved by the owning entity RID. All rights reserved by the entity to approve or deny request. I understand that no part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law. For permission request questions, write to the director of operations, addressed “Attention: Copyright Permissions Request,” at japple@rid.org.
Initials*
Date*
MM slash DD slash YYYY