Permission Request Form


Use this form for reprint and distribution requests.
  • Describe in detail the material(s) for which you request permission to reprint: (e.g., include a) the full title, author and copyright date of published article, as well as the document number, if known; or b) distinguishing characteristics of digital images and source description; or c) specific URLs for web page content; or d) full draft of the press release or other marketing material, etc.)
  • Describe in detail for what purpose the material(s) will be used:
  • Before submitting personal information to us, we encourage you to read our Privacy Statement and Consent to Use of Data. This Statement contains important information about how we will handle and use your personal information. After you have had a chance to review the Statement, please acknowledge your acceptance of terms by selecting the box below. If you choose not to accept, the information you just completed will not be submitted to Accu-Glass.