Copyright and Permission Information

Permission Form

American Mathematical Society
201 Charles Street
Providence, RI 02904-2294

To: [copyright holder]

From: [author]

Date:

I am preparing the following book/journal article to be published by the American Mathematical Society, a non-profit organization dedicated to the mathematical research community:

Title: [citation]

I am requesting permission, free of any restrictions which may limit the Publisher's ability to produce, publish, promote, and distribute the Work in any territory, any language, and any format now known or hereafter discovered, the material described below, in this and all future editions of the above publication.  This material may appear within the text or on the front or back cover of the Work.  Proper credit will be given using the information that appears below.  If you would like the Society to use a specific credit line, please so note at the bottom of this page.

Author(s) and/or Editor(s):

Citation (include page span & year of publication):

Figures/Photos/Tables:

Please sign below if you agree to the terms stated above. By your signature you indicate you are the sole owner of the copyright and that your material does not infringe upon the rights of any other party. If you do not control these rights, please let me know to whom I should apply.

Specific credit line: