Marguerite deAngeli Collection Copyright Permission Form

Marguerite deAngeli Collection

COPYRIGHT PERMISSION GRANTED FORM

I, __________, as the legal representative of the Lapeer County Library/Lapeer District Library, copyright holder, hereby grant permission for to use the work(s) mentioned below and granting 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. This is a limited use license, limited to the specific use mentioned above. This grant of permission shall expire on the following date:

Item Information to be used:

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Title

Type of Item

Description of item

Name of author/artist

Title

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Witnessed by: _______________________________ Date: ____________

Fiction Department Head

Marguerite deAngeli Library

921 W. Nepessing Street

Lapeer, MI 48446

jmartin@lib.lapeer.org

(810) 664-6971 ext. 3217

Board Motion: 12R.09.07

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