Please fill out and submit a separate form for each article from which you are requesting permission/s\n\n* = Mandatory fields

Name *

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Publication European Respiratory Journal European Respiratory Journal Supplement European Respiratory Review European Respiratory Monograph European Lung White Book Lung Health in Europe Facts and Figures Breathe

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If the publication for your request is not on this list please specify

If the publication for your request is not on this list please specify

Authors, title, year, volume number, issue number and page range

Article details

An entire article

 An entire article

Figures

 Figures

Figure number/s and page no./s in the article

Table/s

 Table/s

Table number/s and page no./s in the article

Extract

 Extract

Which material is requested

Please fill in all relevant sections

Book/other written publication

 Book/other written publication

(excluding Journal or thesis/dissertation)

Title, editor/author, print run, publication date and publisher of the publication in which the material is to appear.

Thesis or dissertation

 Thesis or dissertation

Number of copies

Type of thesis/dissertation

Electronic storage of thesis/dissertation

 Electronic storage of thesis/dissertation

Journals

 Journals

Include the name of the journal and authors as well as any other relevant information available (i.e. the title of the manuscript, publisher of the Journal, etc.)

Photocopies

 Photocopies

(for requests for more than 300 copies please request reprints)

Number of copies required

Please indicate the use of the photocopies

CD-ROM

 CD-ROM

Please specify the number of CD ROMS to be produced

Including ERSJ published material on a website

 Including ERSJ published material on a website

Please give details of the reason for including the ERSJ material on the CD ROMs

EITHER\nYou only require permission to include figures/tables or an extract from the ERSJ published material on a website:\n\n

Indicate below the purpose for including the material on the website

\nOR\nIf the request is to include a whole article/s from an ERSJ publication on a website, please answer the following questions:\n\n

Will access to the article be restricted i.e. password protected

How many people will be able to access the article?

Will you be charging people to view the article?

Details of the reason for including the ERJ paper on the website

Website address

Preferred date for inclusion of the article on the website

additional relevant information