Text Reprint Permission Form Text Permission Reprint Form for Bloomsbury's Speculative Fiction: A Writer's Guide and Anthology Your name: Your email: Your Street Address: Your Phone Number: Title of the work to be reprinted: Number of words/pages to be reprinted: Credit/Copyright line/s to be used: Author's bio. (we may edit for length): Publication Information The book is a scholarly/educational one with a limited print run and the main readership is academic. Published by Bloomsbury Academic, an imprint of Bloomsbury Publishing PLC, or its licensees throughout the world. Working title: Speculative Fiction: A Writer's Guide and Anthology Anticipated publication date: Fall 2024 Authors: Ron Tanner and Benjamin Warner Anticipated initial print run: paperback, 1,130 copies Anticipated price: $32.95 I hereby agree to the reproduction of my material described above in the print and electronic versions of Speculative Fiction: A Writer's Guide and Anthology, as well as in all related ancillary or subsidiary material, instructor resource material and promotional materials. This agreement is on condition that the undersigned is duly credited in said book. Bloomsbury Publishing guarantees that the material in the event of publication will only be reproduced in this title, but that this title may be reprinted in English Language editions, and may be sold to co-publishers to print in foreign language editions. Bloomsbury Publishing therefore requires a non-exclusive usage right and license for publication in the above-mentioned book in all its forms, editions, languages and media (including electronic media) throughout the world, and under any imprint for the life of the title. I confirm that I am the legal copyright holder.copyright I accept $100 as payment for permission to reprint my story, as described in this document Accept I would like to receive 1 copy of Speculative Fiction: A Writer's Guide and Anthology free book Question? Message? (Optional) Your Virtual Signature: Δ