Letters and Forms

Permission to Use Copyrighted Material

PERMISSION TO USE COPYRIGHTED MATERIAL

FOR GOOD CONSIDERATION, the undersigned, as copyright holder, hereby grants permission to _, to reprint, publish and use for world distribution the following material: (Describe or attach)

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This material shall be used only in the following manner or publication: (Define intended use)

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A credit line to acknowledge use of the material is _____ is not _____ (Check one) required. If required, the credit line shall read as follows:

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Date: ____________________________

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