REQUEST FOR PERMISSION TO REPRINT MATERIAL

To: (please print or type) From: (please print or type) ______________________________ ______________________________ Person (if known) Author

______________________________ ______________________________ Title (if known) Address

______________________________ ______________________________ Company Address

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______________________________ ______________________________ Address Date

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Dear Copyright Holder: I am preparing a manuscript to be published by SAE International that is tentatively entitled: ____________________________________________________________________________ And that has an estimated publication date of __________________________. I request your permission to use the following material in this and all subsequent editions of my manuscript, including all foreign-language translations, derivative works and all media, published by SAE International or its licensees for distribution throughout the world. I also request permission for possible use of the material in conjunction with the promotion of my work. Please indicate your agreement by signing and returning this letter. In signing, you warrant that you/your organization are/is the sole copyright owner(s) of this material and that said copyright does not infringe on the copyright or other rights of anyone else. If you do not control these rights, I would appreciate your letting me know to whom I should apply. Thank you. Sincerely, ______________________________ Author (OVER)

Text Material Authors/editors____________________________________________________________________ Title of book/periodical/selection______________________________________________________ From Page_________, line______________, beginning with the words________________________ To page___________, line______________, ending with the words___________________________ Artwork Figure nos.___________________________________on pages______________________________ Table nos.____________________________________on pages______________________________ Agreed to and accepted by: ________________________ ______________________________ _________________________ Name (please print or type) Signature Date

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Check one if permission is granted:

No specific credit line or acknowledgement is necessary or desired. Mention of my name / company name (circle one or both) on the acknowledgements or copyright

page is sufficient. Include a credit line of the following simplified form which is SAE’s standard format:

XYZ Widget Company Include a credit line to be worded as follows (please print or type):

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Author and Publisher use only Please identify which text passages/figures/tables in your submitted manuscript correspond to those referenced above. Original source Appears in manuscripts as (e.g., Page/Figure number) (e.g., Figure number/Table number)

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