Paper Number:                                                                             

(Required)

CAGIS PUBLICATION PERMISSION FORM

(Please print or type)

Primary Author's Name:                                                                 

Organization:                                                                                  

Address:                                                                                          

Title of Paper:                                                                                

Telephone:                                                                                     

 Fax Number:                                                                                   

 E-Mail Address:                                                                               

 Coauthor(s) Name(s):                                                                      

In consideration of CAGIS, receiving my (our) paper for publication, I (we) acknowledge that CAGIS's acceptance of my (our) paper is not a guarantee that my (our) paper will actually be published.  I (We) grant my (our) express permission for CAGIS to use, copy, reproduce, publish, republish, and distribute my (our) paper, or any portion thereof, in the [insert conference name here], or any other CAGIS publication, and in any media format or delivery channel including, but not limited to, hard copy, audio, video, CD–ROM, the Internet, and so forth.  If CAGIS chooses not to publish my (our) paper in any of its publications, the work shall be returned to me (us).

I (We) warrant that my (our) submission is my (our) own work and to the best of my (our) knowledge and belief does not infringe upon the copyright or the proprietary rights of others.  If it does contain copyrighted or proprietary material(s) of others, including, but not limited to, text, tables, maps, drawings, photographs, illustrations, or imagery, I (we) have included documents or have used the form provided confirming their consent to CAGIS's publication of my (our) work that also incorporates their copyrighted or proprietary material(s).

Moreover, I (we) promise that this work does not contain any information that is unlawful, libelous, or violative of any person's right to privacy or publicity.  I (We) agree to defend, indemnify, and hold CAGIS harmless from and against any and all liability, expense, cost, or damage arising out of my (our) failure to meet the obligations of this Agreement.

Accepted and agreed this ____ day of ____________, 2006, by

Primary Author's signature:                                                             

Coauthor(s)' signature(s):                                                                

Please mail this completed form to: CaGIS, Attn. Managing Editor, 6 Montgomery Village Avenue, Ste. 403, Gaithersburg, MD 20879. Or you may fax it to 240-632-1321.

CAGIS PERMISSION TO USE COPYRIGHTED MATERIAL

This section should be completed only if you are submitting copyrighted material.

Instructions: If you have authored a work that contains or incorporates proprietary or copyrighted material of one or more other authors, you must get permission from the author(s) to use the materials in your work.  As the author submitting work to CAGIS for possible publication, please provide the information requested in Section A of this form and present it to the author(s) whose materials you have incorporated into your work.  In Section B, please have the proprietary/copyright owner(s) sign the Agreement.  Then forward to CAGIS your manuscript including both the original completed Publication Permission form and this Permission to Use Copyrighted Material form.

Section A

In connection with my(our) work, titled .....................................,   I (We) have incorporated the following material(s) to which I (we) believe you have the proprietary rights and/or copyrights.

Description of material(s) incorporated (if you require more space, please make an attachment):

Person/Organization Name: 
Address:
Telephone:
Fax:
E-Mail:                                                                                           

Section B

I (We) intend to submit this work to CAGIS for publication in its [insert conference name here], and any other CAGIS publications.  I (We) request your permission to use, copy, reproduce, and distribute the above-mentioned material(s) in the work and grant CAGIS the same rights as noted above including the right to publish/republish the work, or any portion thereof, in the [insert conference name here], or any other CAGIS publication, and in any media format or delivery channel including, but not limited to, hard copy, audio, video, CD–ROM, the Internet, and so forth.

I (We) grant you and CAGIS the aforementioned rights in the abovementioned material(s).

Primary Author's signature:                                                             

Coauthor(s)' signature(s):                                                                

Please include a "legal" and/or credit line (attach an additional paper with exact wording).