The writing that I produced for the writing component of Physics 218 during the Fall, Spring, Summer semester of ____   __(year)
may be reproduced by the Physics department at Texas A&M University for instructional purposes. It may appear as a handout for
future students, as an on-line document, or as materials for training future instructors.

I understand that my paper may be used in successive Physics 218 courses or other related courses and that it may be published in
a course packet or another form of publication. If so, I may be contacted to give my explicit permission for its use. This form will
be used to contact me.

Name (please print)______________________________________________________________________________________

Name (signature)________________________________________________________________________________________

Student ID number ______________________________________________________________________________________

Permanent address_____________________________________________________________________________________ _

Local address___________________________________________________________________________________________

E-mail_______________________________________________________________________________________________ _

Permanent telephone number_______________________________________________________________________________

Date__________________________________________________________________________________________________

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