Fill and Sign the Photo Consent 497426786 Form

Your Name             Address                                                                   Date       Permissions Dept. or Author' name Address                                                                                     Subject: Requested permission to use photograph Dear       , I am writing to request permission to use the following photograph for use in a (book or article) I am writing entitled       . I have enclosed a self addressed stamped envelope and attached a “PERMISSION GRANTED” form for you to sign and send back for your convenience. The following is the information that I wish to use: Photograph To Be Used From:       (title of book or article) By:       (name of photographer) Material: From page       to       and consisting of a total of       photographs. Thank you for your prompt attention to this matter and for your consideration of this request. Sincerely, Your Name             C.C. - 1 – Copyright 2004 USLegalforms.com PERMSISION GRANTED FORM I,       , as owner of the copyright hereby grant permission for       to use the aforementioned material and grant non-exclusive world rights in all languages in the book/article titled       , and for any subsidiary use, promotional use, future revisions, and future editions of the same. The following credit line and copyright notice must accompany the use of this photograph:       . This is a limited use license, limited to the specific use as indicated in the request and shall expire on the following date:       . By: ______________________       Date       Title - 2 – Copyright 2004 USLegalforms.com