PERMISSION TO USE COPYRIGHTED MATERIAL

FOR GOOD AND VALUABLE CONSIDERATION, the receipt and sufficiency of which being hereby acknowledged, the undersigned, as the copyright holder, hereby grants permission to_____________________________, to reprint, publish and use for world distribution the following material:

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This material shall be used only in the following manner or publication:

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A credit line to acknowledge use of the material shall be required. The credit line shall read as follows:

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Dated this_____ day of_______________, 200(x).