Reprint Permission Special Request This form is for use in requesting reprint permission for those cases when you're unable to use the regular permission request form. Please fill out the information below and then click the SUBMIT REQUEST button. Your first and last name: The name of your business or organization (if applicable): Your e-mail address: Re-enter e-mail address to assure accuracy: Your telephone number: In the box below, please describe what you are requesting to use and how it would be used. Return to The Daily Motivator site