DIY Legal Forms

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Permission To Reprint Release Form

[Company Letterhead]

[Date]

[Mr/Mrs/Ms/Dr] [First Name] [Last Name]

[Title]

[Company]

[Address]

[City] [State] [Zip]

Dear [Mr/Mrs/Ms/Dr] [Last Name]:

I grant nonexclusive all-language world rights to [Name] to use the following material:

in a publication tentatively entitled:

authored by:

including all editions and all possible subsidiary and promotional uses in connection with this work.

I require that you print the following credit line, if different from the proposed credit line in your letter:

Sincerely,

[Your Name]

[Your Title]

[Your Phone Number]