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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