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]

_

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

_

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

_

Dated: _

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