Permission to Use Quote or Personal Statement

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

DATE

{{date}}

To Whom It May Concern,

I, {{full_name_of_individual}}, residing at {{address_of_individual}}, hereby grant {{company_name}} (hereinafter referred to as 'the Company') permission to use my quote/personal statement as detailed below, in accordance with the terms and conditions outlined in this document.

Quote/Personal Statement Details

The specific quote or personal statement for which permission is granted is as follows:

"{{quote_content}}"

This statement was made on or about {{date_of_statement}} in connection with {{context_of_statement}}.

Purpose of Use

I understand and agree that the Company intends to use my quote/personal statement for the following purposes:

{{purpose_of_use_e.g._marketing_materials,_website,_internal_communication,_etc.}}

This may include, but is not limited to, use in print publications, online platforms, social media, promotional videos, and public relations materials.

Terms of Use

I grant the Company a non-exclusive, perpetual, irrevocable, worldwide, and royalty-free license to use, reproduce, publish, distribute, and display my quote/personal statement in any and all media, whether now known or hereafter devised, for the stated purposes. I waive any right to inspect or approve the finished product wherein my quote/personal statement appears.

I confirm that the quote/personal statement provided is my own original work and does not infringe upon any intellectual property rights of any third party. I also confirm that the statement is truthful and accurate to the best of my knowledge.

No Remuneration

I understand and agree that I will not receive any financial compensation or other remuneration for the use of my quote/personal statement by the Company.

Release and Indemnity

I hereby release and discharge {{company_name}}, its officers, directors, employees, agents, and assigns from any and all claims, demands, and causes of action whatsoever which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of {{country}}.

Signature

_____________________________

{{full_name_of_individual}}

Date: {{date}}

Company Representative (Witness)

_____________________________

{{company_representative_name}}

{{company_representative_title}}

Date: {{date}}