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PERMISSION TO QUOTE

Company Name ("Grantee") is requesting permission from First Last ("Author(s)") for the right to reprint, reproduce and republish the following Quote (the "Material") for use in Insert Reprint Location (Advertising, Broadcasting, Publishing) by the "Grantee". Permission is granted to "Grantee", for non-exclusive world rights in all languages, for use of the material listed below, received in the format of a (Book, Article, Email, Interview, Broadcast, Testimonial) by First Last ("Author(s) Name(s) and Author(s) Title(s)") Insert the Publication Title Name (Publication Title), and for any promotional or subsidiary usage, future revisions, and future editions of the same. Include the full quote(s) to be used and the exact source.

Indicate the number of pages that will be attached if additional pages are required.

Make sure every page is signed by the copyright owner(s):

Insert full text of quote to be reprinted here.

Contribution credits will read as follows:

Examples: Dr

John Doe, Imaginary University, Copyright 2003, Dr. Jayne Doe, Imaginary University - "Article about Stuff", Imaginary Press. In witness whereof, the parties have executed this Agreement this Current Day day of Current Month, Current Year.

Job title of signator, authorized signature or signer. Job title of signator, authorized signature or signer.