Request For Permission to Reprint

If you would like to reprint any of Cherrie Moraga's published works, please fill out the form below. You may also print or download the form and fax it in.

*Name:
Address:
City:
State:
Zip:
*Email:
Fax:
Name of Essay, Poem or Chapter to be reprinted:
*From which book or publication?
*Page Numbers to be reprinted:

*Reprinting Publisher (For course readers-Name of Institution):
*Number of copies:
*Expected publication date:


PERMISSION MUST BE ACQUIRED FROM THE PUBLISHER WHO WILL STIPULATE THE REQUIRED FEE.

*Required fields

Download Forms Requesting Permission to Reprint
     
You may also print this form directly from this website and fax it in. Go to print version.

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