release



	This is a sample of the release you will be required to sign. You may copy and paste this document into your word processing progrm. You can then print it and fill in your information at the bottom. Send it to me along with your typed, handwritten, or dictated submission materials.



AGREEMENT & RELEASE
		I hereby convey all rights I have to the material I have submitted to Daphne Phillips. This transfer of rights, includes, but is not limited to, any copyright or other property right I might have on this material. I acknowledge and confirm that I am the sole author of the material and that no other person has claim on it. I acknowledge and confirm that I have submitted this material for inclusion in the general market book (tentative title), "After the Diagnosis: Stories of Crohn's Sufferers" (herinafter the "Book"). The transfer and consent to use the material I have provided means that Daphne Phillips or her agents shall have the right to print and copyright my material as is, except as to changes made for clarity or length, in any edition of the Book. Even though these rights are given by me to Daphne Phillips, I still retain the right to write similar material and publish it elsewhere, provided that such publication does not violate any copyright or other proprietary right of Daphne Phillips or her agents. I understand that while the content of the material is based on my own experience, this expression of the experience is to become the property of Daphne Phillips. As such, I claim no authorship interest and acknowledge that I have no right to royalties or other payment from its publication. To the extent that I might have any right to payment from the commercial sale of this material, I specifically waive that right. If I continue to keep Daphne Phillips informed of my address I will receive a copy of the Book in the event that it is published. I understand that Daphne Phillips and her agents agree to use reasonable care to protect my anonymity (unless I desire my actual name to be used), including the storage of this agreement. In the event that my identity, or the identity of anyone referenced in my materials, should become recognized, I shall hold harmless and indemnify Daphne Phillips and her agents from any claim or legal action brought against them and will not take part in bringing any claim or legal action against them. My signature below is proof that I have read, understood, and accept the terms set forth in this agreement and that no other agreements, verbal or written, exist concerning this material. ___________________________________Legal Signature ___________________________________Date ___________________________________Full legal name printed ___________________________________Address ___________________________________Address ___________________________________Name to be used in print Author's address-Daphne Phillips, 3446 Winder Hwy, Suite M, PMB #121, Flowery Branch, GA 30542

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