Permission To Use Quote, Photograph Or Personal
FOR GOOD AND VALUABLE CONSIDERATION, the receipt and sufficiency of which
being hereby acknowledged, the undersigned irrevocably authorizes ____________________, and its successors and assigns, to use, publish or reprint in whole or in part the following statement, picture, endorsement or quotation:
This authorization shall extend only to a certain publication known as______________________, including all further or new editions, reprints, advertisements, publicity and/or promotions thereof.
Dated this______ day of_______________, 201(x).