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Permission Agreement

_____________________ ("Licensor") is the owner of rights for the material defined below (the "Selection"). _____________________("Licensee") wants to acquire the right to use the Selection as specified in this agreement (the "Agreement"). The Licensor understands that the Selection will be used in a submission to deviantART.com and that the Licensor has read and understood the deviantART Submission Agreement and grants the Licensee the rights and powers necessary to comply with the deviantART Submission Agreement. Licensor Information Title of work (the "Selection"): ________________________ Author: ____________________________ Source publication (or product from which it came): _____________________________ If from a periodical, the ISSN, volume, issue, and date. If from a book, the ISBN: __________________________ If from the Internet, the entire URL: __________________________ If textual the number of pages or actual page numbers to be used: _____________________________ Licensee Publication Information The Selection will appear in the following publication(s) (the "Work") The title of the Work : _____________ (check if applicable) [ ] Literature Submission: ______________________________ [ ] Photomanipulation: _____________________________________ [ ] Collage: _________________________________________ [ ] Other derivative work: ___________________________________ Grant of Rights Licensor grants to Licensee and Licensee's successors and assigns, the right to reproduce and distribute the Selection on the deviantART.com website in: (select all that apply) [ ] A single Work to be created by the Licensee as titled above. [ ] A single Work to be created by the Licensee, as titled above, and all derivatives of this Work. [ ] Multiple Works to be created by the Licensee Grant of Commercial Rights Licensor grants to Licensee and Licensee's successors and assigns, the right to reproduce and distribute the Selection commercially through the deviantART.com Shop in: (select all that apply)

[ ] NO COMMERCIAL USE IS GRANTED. [ ] A single Work to be created by the Licensee as titled above. [ ] A single Work to be created by the Licensee, as titled above, and all derivatives of this Work. [ ] Multiple Works to be created by the Licensee [ ] The Selection is governed by a Creative Commons License which allows for commercial use

Credit & Samples (check if applicable and fill in blanks) [ ] Credit. All versions of the Work that include the Selection shall contain the following statement of credit to the Licensor: _________________________________________________ [ ] Samples. Upon publication, Licensee shall furnish copies of the Work to Licensor. The Licensor will then have the option to reject the final Work and void this grant of permission if the work is found to be obscene, offensive, blasphemous, pornographic, unlawful, threatening, menacing, abusive, harmful, an invasion of privacy or publicity rights, defamatory, libelous, vulgar, illegal or otherwise objectionable; Warranty Licensor warrants that it has the right to grant permission for the uses of the Selection as specified above and that the Selection does not infringe the rights of any third parties. Miscellaneous This Agreement may not be amended except in a written document signed by both parties. If a court finds any provision of this Agreement invalid or unenforceable, the remainder of this Agreement shall be interpreted so as best to effect the intent of the parties. This Agreement shall be governed by and interpreted in accordance with the laws of the State of California. This Agreement expresses the complete understanding of the parties with respect to the subject matter and supersedes all prior representations and understandings. Licensor By: ______________________ Name: _____________________ Title: _____________________ Address: _____________________ Date: ________________ Licensee By: ______________________ Name: _____________________

Title: _____________________ Address: _____________________ Date: ___________________