Non-exclusive Conference Paper/Article

Publication Permission and Release Form

for Authors
ORGANIZING AGENT THE PUBLISHER

_____________________________________ BrownWalker Press / Universal Publishers, Inc.

23331 Water Circle
_____________________________________ Boca Raton, FL 33486-8540 • USA

_____________________________________
GENERAL TERMS
* This agreement grants The Publisher the non-exclusive right to sell and distribute the contributor's material titled
below, in any print or electronic format, anywhere in the world, at any time, as part of the collection named below.
*The undersigned represents that he/she has the power and authority to make and execute this agreement.
*The undersigned agrees to indemnify and hold harmless The Publisher from any damage or expense that may arise in
the event of a breach of any of the warranties set forth below.
* The undersigned will receive no royalty or material compensation from The Publisher.
*For jointly authored Material, all joint contributor should sign, or one of the contributors should sign as authorized
agent for the others.
I, the Contributor (listed below), hereby grant non-exclusive permission for The Publisher (listed above) to
include the below-named Material in the Book (Titled below). I further allow The Publisher to distribute or sell this
Material as part of the publication in print, ebook, and on the world wide web. I also grant The Publisher the right to
publish promotional portions from the Book in any media format now or hereafter known.
I hereby verify that I am the sole owner of copyright in this Material and have the authority to grant such
permission, and have obtained all relevant consents for the purposes of this Agreement. I guarantee that none of that
material submited by me is [a] plagiarized or infringes any existing copyright; [b] contains matter that is defamatory,
libelous, slanderous, an invasion of privacy, or otherwise unlawful; and [c] any material that the contributors does not hold
all necessary rights to enable The Publisher to publish the Work. The Contributor agrees to indemnify and hold The
Publisher harmless against any claim, demand, suit, action, proceeding, prosecution or judgment, based upon The
Publisher’s exercise of the rights conferred by this Agreement, including all reasonable expenses, losses, penalties, legal
fees, and liabilities suffered or incurred.
I hereby release and discharge The Publisher and other publication and conference sponsors and organizers from
any and all liability arising out of my inclusion in the publication, or in connection with the performance of any of the
activities described in this document as permitted herein. This includes, but is not limited to, my right of privacy or
publicity, copyright, patent right, trade secret rights, moral rights or trademark rights.
All permissions and releases granted by me herein shall be effective in perpetuity and throughout the universe,
and extend and apply to The Publisher and its assigns, contractors, sublicensed distributors, successors and agents.
In the event that any elements used in the Material contain the work of other individuals or legal entities, I
understand that it is my responsibility to secure any necessary permissions and/or licenses and will provide it in writing to
The Publisher. If the copyright holder requires a citation to a copyrighted work, I have obtained the correct wording and
have included it in the designated space in the text.
____ This paper has been previously published but I have the right to publish it in this collection. Indicate below where
and when it was published:
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____ I have not included any material in my contribution that requires permission from the another party to publish.
____ I have obtained the necessary permission in writing from the copyright owners to use any and all
material in excess of fair use as decreed by US and international copyright laws (please attach copy of
permission).
Title of Book/Collection ____________________________________________

Title of Material/Article ____________________________________________

Contributor name ____________________________________________

Signature ____________________________________________

Date ____________________________________________

Email address ____________________________________________

Each contributor must submit a signed form.
Please return this form to the organizing agent.
BrownWalkerPress.com / Universal-Publishers.com
____________________________________