Authorization Form To Be Typed On Licensee’s Letterhead

Name and Address


As part of our system of internal control with respect to our royalty income, we have retained Royalty Control Group Company and its President, Elliott S. Greller, to examine the books and records of ______________________________________ in accordance with the provisions of our license agreement(s).  Accordingly, Mr. Greller will examine the following contracts of license:



for the period allowable by the contract of license, to date.

Mr. Greller will be in contact with you regarding the information which should be made available to help expedite his audit.  For your files please be advised that Mr. Greller can be reached at 800-724-4063 and his telecopier number and e-mail address is 914-238-8875 and respectively.


Enter Name

Enter Title

CC: Elliott S. Greller, CPA



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