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Reprint Permission Request

Please complete and submit this form if you want to reprint staff written articles. Articles reprinted from RCAC publications must include the following language: Reprinted with permission from Rural Community Assistance Corporation, all rights reserved. For more information about RCAC, go to www.RCAC.org. There is no charge to reprint.

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* Article title
* Author
* Article date	/ / (MM/DD/YYYY)
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* Proposed publication title in which article will be published.
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* First Name	Your contact information
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* Phone	XXX-XXX-XXXX
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Reprint Permission Request

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