To request permission to use copyrighted material, provide the following information (all fields relevant to your request must be completed) and print out this form and send it to Mug Publications via fax or postal service. Please allow one week for a response, and note that incomplete forms may result in delays in processing your request.

Postal Address: MUg Publications, Mildmay Uganda, P.O. Box 24985 Kampala, Uganda

Tel: +256 312 210 200 Fax: +256 312 210205 E-mail: mailbox@mildmay.or.ug

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