Letterhead
{{company_name}}
{{company_address}}
Tel: {{phone}}
Email: {{email}}
Website: {{website}}
Date
{{date}}
Recipient Details
{{recipient_name}}
{{recipient_address}}
Subject: Permission to Use Quote/Personal Statement
Dear {{recipient_name}},
Permission Grant
I, {{recipient_full_name}}, hereby grant {{company_name}} (hereinafter referred to as 'the Organization') irrevocable permission to use my quote/personal statement, as detailed below, for the purpose of {{purpose_of_use}}.
The specific quote/personal statement for which permission is granted is as follows:
"{{quote_or_statement}}"
This quote/personal statement was obtained on {{date_of_statement}} from {{context_of_statement}}.
Scope of Use
The Organization is granted permission to use the aforementioned quote/personal statement in any and all of its publications, including but not limited to, websites, social media, marketing materials, advertisements, press releases, articles, and other promotional content, in any medium now known or hereafter developed. This permission includes the right to reproduce, distribute, display, perform, and create derivative works from the quote/personal statement, in whole or in part, without further compensation or notification.
The Organization may also use my name and likeness (e.g., photograph, if provided) in conjunction with my quote/personal statement.
Representations and Warranties
I represent and warrant that I am the sole author of the quote/personal statement and have the full right and authority to grant the permissions herein. I further represent and warrant that the quote/personal statement is my original work and does not infringe upon the intellectual property rights or privacy rights of any third party. I agree to indemnify and hold harmless the Organization from any and all claims, demands, and causes of action arising from the use of my quote/personal statement.
No Remuneration
I understand and agree that I will not receive any financial compensation or remuneration for the use of my quote/personal statement under this agreement.
Waiver of Review
I waive any right to inspect or approve the finished product wherein my quote/personal statement appears, or the advertising copy or other matter that may be used in connection therewith or the use to which it may be applied.
Governing Law
This agreement shall be governed by and construed in accordance with the laws of {{country_or_region}}.
Signature Block
Sincerely,
_____________________________
{{recipient_full_name}}
ID/Passport Number: {{recipient_id_number}}
Date: {{signature_date}}
_____________________________
For and on behalf of {{company_name}}
Name: {{company_representative_name}}
Title: {{company_representative_title}}
Date: {{company_signature_date}}
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