; Permission to use Quote or Personal Statement
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Permission to use Quote or Personal Statement

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Doc Template - Permission to use Quote or Personal Statement

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									                       PERMISSION TO USE QUOTE OR
                          PERSONAL STATEMENT


This Permission (the "Agreement") is made and effective the [DATE].


BETWEEN:                  [ASSIGNOR NAME] (the "Assignor"), a corporation organized and existing
                          under the laws of the [STATE/PROVINCE], with its head office located at:



AND:                      [ASSIGNEE NAME] (the "Assignee"), a corporation organized and existing
                          under the laws of the [STATE/PROVINCE], with its head office located at:




FOR GOOD CONSIDERATION, the Assignor irrevocably authorizes the Assignee, and its successors
and assigns to use, publish or reprint in whole or in part the following statement, picture, endorsement
or quotation:


[DESCRIBE OR ATTACH]




This authorization shall extend only to a certain publication known as [IDENTIFY], including all new
editions, reprints, advertisements, publicity and promotions thereto of said work.



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


ASSIGNOR                                                  ASSIGNEE




Authorized Signature                                      Authorized Signature


Print Name and Title                                      Print Name and Title




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