Copyright Permission Request

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<Your Name> <Your Street Address> <City, State, Zip Code> <Date> <Recipient Name> <Title> <Company Name> <Street Address> <City, State, Zip Code> To Whom It May Concern: I am the adviser for the <School Name> Yearbook, which captures the memories of the students in our school. This year, the theme of our yearbook is <enter theme here>. We hope to use graphics related to <the product> in our yearbook design because it ties into our theme, <what’s the theme> and is easily recognized and appreciated by the students in our school. We would like to use <specifically state what graphic, logo or image you are using, such as a logo, a sticker of a character, etc.> in our yearbook design. May our school have permission to use these images in our yearbook? We would, of course, include any other information that you require. Please call me at <phone number> if you need more information or if you have any questions. I have enclosed a stamped, self-addressed envelope. Please return the enclosed copy of this letter with your response to this request, along with a signature, by <date>. Thank you very much for your attention to this matter. Sincerely,

<Your Name> <Title>

AUTHORIZATION We grant permission to the school named above to use <the product> in the school’s yearbook.  Use is further subject to the restrictions and conditions attached. [check box if applicable]

Company Name: Authorized Signature Printed Name Address Telephone

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