Authorisation To Use Quotation

IN CONSDERATION of non-monetary compensation received, the undersigned does irrevocably grant permission to (NAME/ADDRESS), to use the attached (describe) in a publication entitled (title), and in any subsequent editions of that publication, as well as in direct connection with the other advertising or promotion of said publication.

The undersigned does also certify that they are the author and/or rightful owner of the attached intellectual property and that they have full rights and power over such.

Dated:

___________________________

{UNDERSIGNED}

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