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					This Permission to Use Copyrighted Material is used by a copyright holder to grant
permission to another party to use copyrighted material. This document contains the
material terms and conditions of the agreement including a description of the material,
any restrictions on the use of the material, and the credit line that must accompany the
work. The agreement sets forth a standard format for such an agreement and may be
customized to fit the specific needs of the contracting parties. This should be used by
copyright holders when granting permission to another party to use its material.
                          PERMISSION TO USE COPYRIGHTED MATERIAL

THIS PERMISSION TO USE COPYRIGHT AGREEMENT made on this _____ [Month] ___
[Date], 20__, by and between ________________________ [Instruction: Insert the name of Copyright
owner] hereinafter referred to as the “Assignor” and _______________________ [Instruction: Insert
the name of company/individual/publisher to whom copyright license is granted] hereinafter referred
to as the “Assignee”.

FOR GOOD CONSIDERATION, the Assignor, as copyright holder, hereby grants to Assignee,

(_____) Exclusive

(_____) Non-exclusive

[Instruction: Choose any one clause above and insert “X” as applicable] permission to reprint, publish
and use for

(_____) world distribution

(_____) local territory

[Instruction: Choose any one clause above and insert “X” as applicable] the following material:

_____________________________________________________________________________________
_______________________________________________________________________

[Instruction: Insert the detailed description of the material]

CREDIT LINE.

A credit line to acknowledge use of the material is required and shall read as follows:

“Reproduced with permission from ___________________ [Instruction: Insert name of the Copyright
owner]. Copyright 20__ [Instruction: Insert year of creation of Copyright work]."

[Instruction: Credit line holds information that owner of the work request assignee to include with
the work, as a condition of use enforced by the license. You can choose the above sample credit line
or write a customize one in below space. Please note there has to be only one credit line. ]

_____________________________________________________________________________________
_____________________________________________________________________________________



© Copyright 2012 Docstoc Inc.                                                              2
_____________________________________________________________________________________
_________________________________________________________

[Comment: Delete this credit line clause if the copyright work is not registered]

IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first above written.

[Name and Address of Assignor]                         [Name and Address of Assignee]


By      : ________________________                     By      : ________________________


Title   : ________________________                     Title   : ________________________




© Copyright 2012 Docstoc Inc.                                                         3
                                        EXHIBIT A




COPYRIGHT WORK:

______________________________________________________________________________
______________________________________________________________________________


[Instruction: Insert the copyright material which is permitted under this agreement]




© Copyright 2012 Docstoc Inc.                                                    4

				
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Description: This Permission to Use Copyrighted Material is used by a copyright holder to grant permission to another party to use copyrighted material. This document contains the material terms and conditions of the agreement including a description of the material, any restrictions on the use of the material, and the credit line that must accompany the work. The agreement sets forth a standard format for such an agreement and may be customized to fit the specific needs of the contracting parties. This should be used by copyright holders when granting permission to another party to use its material.
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