The ______________________________________________________ grants Washington
State Department of Information Services permission to sublicense, royalty-free,
the Video Program entitled,
_______________________________________________________________ for the limited purpose of the Citizens' Network Project. The Citizens' Network Project makes video programs available to ‘Access’ broadcast/cablecast organizations for broadcasting. Video programs will be used in their entirety and will not be used for commercial purposes.
This sublicense agreement will be in effect until ____________ or until revoked upon reasonable notice.
Agreed:
_________________________________
Signature
_________________________________
Printed Name
_________________________________
Title
_________________________________
Date
Fax or mail this form to:
Shawndra Michell
DIS-IT Citizens' Network
P O Box 42445
Olympia, WA 98504-2445
Tel# 360-407-0550
Fax# 360-438-7996