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Christian Concourse Permission To Publish Form
From (full name): ____________________________________ Address: ____________________________________
____________________________________
____________________________________ Phone: ____________________________________ To: Christian Concourse Ministries, Inc. 1543 Norcova Ave. Norfolk, Virginia 23502-1720 Phone: (757) 714-3133 Dear Christian Concourse Ministries: I am the author of the creative works listed below. As the sole owner of these original works, I grant to Christian Concourse Ministries, and any subsidiary organizations owned or controlled by Christian Concourse Ministries, my permission to publish them in the format deemed best by Christian Concourse Ministries and as often as Christian Concourse Ministries sees fit. Excepting this permission from me to Christian Concourse Ministries, I understand that this release does not transfer legal possession of the piece(s) and that I retain ownership of them with all copyrights afforded me under the law. I understand that Christian Concourse Ministries will include a byline crediting me as the author and holder of the copyright with each use of the work(s). I also understand that any financial gain realized by Christian Concourse Ministries from the use of my works will remain among the resources in support of that ministry and as such will be used at their sole discretion. Titles of creative works: ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ (If more space is necessary, please use another copy of this form. Do not write on the back or make any attachment.) Signed: ____________________________________ Date: ______________________ 07/04 |