Permission and Release Form for Video/Audio Submissions

Event/Publication: CHI 98, April 18-23, 1998, Los Angeles, California, USA

TITLE OF WORK: 


I hereby grant permission for the ACM to include my presentations and comments,
in any and all forms, in the above-named event or publication.  I further grant
permission for the ACM to transcribe and reproduce this submission, if ACM
chooses to, and for ACM to distribute or sell this submission, in complete or
partial form, and in translation, on videocassette, broadcast, cablecast, CDROM,
laserdisc, multimedia, print, electronic text, and any other media format now or
hereafter known.

I agree that ACM has the right to use my image, voice, pronouncements, likeness,
and my name and any and all biographical material submitted by me in connection
with the Event/Publication named above, for purposes of the reproduction and
distribution described above, and for any associated advertising or exhibition,
whether used in excerpts or in full.

I understand that ACM and others will invest considerable resources in reliance
on the permissions and releases herein.  I understand that the ACM is under no
obligation to exercise any or all of the rights, licenses, and privileges herein
granted. I hereby release and discharge ACM and other Event/Publication sponsors,
funders, and organizers from any and all liability arising out of my
participation in the Event/Publication, or in connection with the performance of
any of the activities described in this document as permitted herein, including
but not limited to my rights of privacy or publicity, copyrights, patent rights,
trade secret rights, moral rights, or trademark rights.

All permissions granted by me and all releases by me herein shall be effective in
perpetuity and throughout the universe.  All permissions and releases herein
extend and apply to the ACM and its assigns, contractors, sublicensees,
distributors, successors, and agents.

In the event that any materials used in my presentation contain the work of other
individuals or organizations (including any copyrighted musical compositions or
excepts thereof), I understand that it is my responsibility to secure any
necessary permissions and/or licenses.  Small performing rights licenses must be
secured for the public performance of any copyrighted musical composition. 
Synchronization licenses must be secured for the inclusion of any copyrighted
musical composition in film or video presentations.

[ ] Yes  [ ] No  I have the necessary right and/or permissions to use the works 
                 of others.

  	
SIGNATURE:

DATE:

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Return by 2 January 1998 to:					
CHI Conference Office	
703 Giddings Avenue
Suite U-3
Annapolis, MD  21401 USA

This form is only required for VIDEO submissions.       
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