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Copyright Consent

Copyright Consent Form1

Merck KGaA, Darmstadt, Germany and/or any of its affiliates, including but not limited to EMD Millipore Corporation, Millipore SAS and Sigma-Aldrich Co LLC (hereinafter, “Authorizer”) grant permission to _____________________________________ (hereinafter, “Requester”) for _____________________________________the use of the photograph(s) or electronic media images (hereinafter, “Works”) as identified below for [insert purpose and medium of publication (electronic, printed)].


Information on Photograph(s) and Images2

☐ Image 1
☐ Image 2
☐ Image 3
☐ Etc.


Type of Use (check one):

☐ For profit
☐ Not for profit

  1. Authorizer shall own the copyright to all Works under the terms of this consent. Requester shall have the right to make reasonable alterations or enhancements, such as cropping or retouching to any photographs without any further approval from Authorizer.
  2. Requester shall in all cases when practical use the statement: "reproduced with permission from Merck KGaA, Darmstadt, Germany and/or its affiliates".
  3. Requester will ensure the Works to be stored on a safe media accessible only by the authorized representatives.
  4. Authorizer may revoke this consent at any time by sending a written revocation to Requester.
  5. Requester shall indemnify and hold harmless Authorizer from and against all claims, suits, losses, damages and expenses (including without limitation, court costs and attorneys fees) arising out of any and all activities of Requester.
  6. The Works are in “as is/where is” condition. Authorizer does not make any representations, warranties or guarantees in connection with the Works and will not be liable for indirect/consequential damages arising out of any claim based on third party ownership to the Works.


This consent has been read and agreed by Requester on

Signature: _________________________________________________________

Authorized Representative(s): _________________________________________________________

Date: _________________________________________________________


Authorizer

Signature: _________________________________________________________

Authorized Representative(s): _________________________________________________________

Date: _________________________________________________________

Signature: _________________________________________________________

Authorized Representative(s): _________________________________________________________

Date: _________________________________________________________


1 Once completed, please send it to copyright@milliporesigma.com
2 Please insert information that describes the photograph or the image. (Submit a photocopy or screen image of the context in which the copyrighted
material will be used)

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