2.2.7.2 Copyright permission request form

Permissions Department

John Wiley & Sons Limited

The Atrium, Southern Gate

Chichester, West Sussex

PO19 8SQ, UK

Tel:  +44 (0)1243 843356

Fax:  +44 (0)1243 770620

E-mail:  PermissionsUK@wiley.com

Review Title: …………………………………………………….…………………….

Author(s): ……………………………………………………………………………...

Issue Number & Year: ………………………………………………………………..

Material requested (e.g.: whole review, abstract, graphs, plain language summary, figures - state which):

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Details, format and language of re-use: ……………………………………………...

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Number of copies to be made (if applicable): ……………………………………….

Name and Title of Requester: ………………………………………………………..

Name of Requesting Organization: …………………………………………………..

Postal Address: ………………………………………………………………………..

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Telephone: ………………………………… Fax: ……………………………………

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Permission requests are handled by John Wiley & Sons Limited on behalf of the Cochrane Collaboration, and should be submitted to the address above.

PLEASE NOTE THAT IN ADDITION TO RECEIVING PERMISSION FROM WILEY, REQUESTERS MUST ALSO OBTAIN THE PERMISSION OF THE AUTHOR(S) BEFORE REPUBLISHING ANY COCHRANE MATERIAL.