Bloch Pub copy right material

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.

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B. I wish to use the following material copyrighted by Bloch Publishing Company:
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- C. The Bloch Publishing material identified in Part B will be used in the following manner (please complete section i or ii):
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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