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License to Use Copyrighted Material

THIS AGREEMENT dated as of Effective Date of Agreement (ie. July 1, 2000) between Name
of Owner of Copyright (Licensor), of Address of Licensor (the “Licensor”) and Name of Party
Receiving License to Use Copyrighted Material (Licensee), of Address of Licensee (the
“Licensee”).

IN CONSIDERATION of the mutual covenants and conditions hereinafter set forth and for
other good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties agree as follows:

1. The Licensor hereby grants to the Licensee a license (the "License") to reproduce, reprint,
publish and otherwise use the following copyrighted materials (the "Copyrighted
Materials"):

Describe in detail Copyrighted Materials (ie. Excerpt from a specific


article written by Licensor)

2. The term of the License (the "Term") shall commence on the date of this Agreement and
shall continue for a period of Period (term) of License (ie. one week, three months, two
years, etc..) thereafter, at which time this Agreement shall terminate.

3. The Licensee shall pay to the Licensor, a licensing fee for use of the Copyrighted
Materials, in advance, in the amount of Amount of License Fee, if any (ie. $1,500.00 per
year, $100.00 per month, etc...).

4. The Licensee covenants and agrees that:

(a) it will use the Copyrighted Materials for the sole purpose of State specific purpose
for using Copyrighted Materials (ie. for internal training purposes) and for no
other purpose without the prior written consent of the Licensor;

(b) it shall have no right, title or interest in the Copyrighted Materials except as
expressly set forth in this Agreement.

(c) the Licensee acquires no rights or interest in any trademarks or other intellectual
property rights of the Licensor; and

(d) List any other conditions attached to use of Copyrighted Materials.

5. This Agreement is sets forth the entire agreement between the parties relating to the
subject matter hereof and stands in the place of any previous agreement, whether oral or in
writing. The parties agree that no amendment to this Agreement shall be binding upon the
parties unless it is in writing and executed by both parties.
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6. This Agreement shall enure to the benefit of and be binding upon the respective heirs,
executors, administrators and assigns of each of the parties hereto.

IN WITNESS WHEREOF this Agreement has been executed by the parties hereto as of the date
first above written.

Witness Licensor

Witness Licensee

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