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Copyright
Form
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I/we seek permission
to copy:
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From the BackCare
website for the following purpose:
(If images are wanted, please include circulation figures and
target audience - if appropriate - with your request)
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Name of Contact
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Name of Organisation/Company
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Please tick
if a Corporate Supporter of BackCare
__________
(the administrative fee for the use of copyright materials for internal
training purposes is waived for Corporate
Supporters)
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Address
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Telephone Number
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Fax Number
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Email address
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Website address
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Invoice address
(if different from above)
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Please print and fill
in the above form and send it to:-
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