Image usage licensing agreements forms

A company in Canada has approached me through my site to use one of my images

in their brochure in both print and electronic (PDF) format to make a one time

limited run, for the purpose of training their internal employees.

Being not experienced with the business aspects of photography, could someone

please advise on the type of licensing agreement form that I should make them

sign before supplying my image by e-mail? Should I make them fax the agreement

to me or is an e-mail from the company stating that they agree to the attached

terms and conditions enough?

The image has no property/model releases, and features a small but prominent

logo of a boutique store in it. Are there any implications related to this I

should be concerned about?

Given that the usage will be locally restricted to Canada, are there any other

issues that I should consider, being based in the US?

I've tried searching online for such forms but come up with either irrelevant

or excessively long and complicated forms.

Thanks.