Letter of Permission to Use Personal Statement 



Letter of Permission to Use Personal Statement :




This letter should be typed in the official letter-head of the company.

The Company's Name

Door Number and Street's Name,
Area Name,
City.
Postal Code : XXXXXX
Phone Number : 0000 - 123456789


TO :

The Receiver's Name,
Door Number and Street's Name,
Area Name,
City.
Postal Code : XXXXXXX


Date :


Reference :


Dear _____________,


FOR GOOD CONSIDERATION, 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:


[Describe or attach]


This authorization shall extend only to a certain publication known as ______ including all new editions, reprints, advertisements, publicity and promotions thereto of said work.


Yours Sincerely,


(The Sender's Signature)


The Sender's Name


Enc. :





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Letter of Permission to Use Personal Statement
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