PERMISSION
TO USE COPYRIGHTED MATERIAL
FOR GOOD
CONSIDERATION, the undersigned, as copyright holder, hereby grants
permission to [r-Name], to reprint, publish and use for world
distribution the following material:
[s-Description]
This material shall
be used only in the following manner or publication:
[s-IntendedUse]
A credit line to
acknowledge use of the material is _____ is not _____ [check one]
required. If required, the credit line shall read as follows:
[s-ReqDescription]
__________________________ _______________
Signature Date
