Thank you for your interest in republishing material from Bloch Publishing Company. Please complete this form in full and submit it by mail to the attention of the Permissions Department with a processing fee of $45.00. We must have all of this information in order to respond to your request.
  • A. My contact information is:

  • B. I wish to use the following material copyrighted by Bloch Publishing Company:

  • Permission Request-Step 3

    • C. The Bloch Publishing material identified in Part B will be used in the following manner (please complete section i or ii):

    • Publication Information
    • Please check if license is sought for a format and provide information on pricing and sales projections Print Run: Please describe any other format you intend to use, the pricing for that format, and the anticipated units disseminated. If you seek to license content for an intranet, define the scope of the audience, the access control mechanism, the length of time, and the address for the intranet, Web site.