Permission to Include Your Story

Thank you for taking a few moments to complete this form.

You recently received an email from me containing the portion of Sitting in the Chair that includes you. Before publication, I would like your permission to include that material in the book. The excerpt you reviewed was provided to you by email and is not included in this form. By signing below, you are giving permission for that excerpt to appear in the published work.

I sincerely appreciate your willingness to help bring this story to life.

Publication Permission

By signing this form, you acknowledge that you have reviewed the excerpt provided to you by email and grant permission for it to be included in Sitting in the Chair.

You give Melanie Rae (Melanie Rosdahl), her publishers and those authorized to publish or distribute the work, permission to include your name, likeness (if applicable), and/or the experiences, statements, or interactions attributed to you in Sitting in the Chair, including future editions, revisions, printings, translations, audiobook editions, electronic editions, and related promotional materials for the work.

Your permission is entirely voluntary, and you understand that you will not receive financial compensation for the publication of this material.

You understand that you may revoke this permission at any time before publication by notifying Melanie Rae in writing. Once the work has been published, this permission will remain in effect for that edition and future editions of the same work.

You certify that you are at least 18 years of age and have the legal authority to grant this permission.