**************PERMISSION TO USE FORM FOR AVS'95****************************** (Please type or print clearly) AVS '95 Permission to use form. Complete this form if you are submitting any papers for panels, lectures, videos, posters, or any other presentation at AVS '95. A copy of this form MUST accompany each paper or submission. Send the completed form along with your submission to Chuck Mosher, AVS '95 Chair International AVS Center North Carolina Supercomputing Center/MCNC PO Box 12889 3021 Cornwallis Road Research Triangle Park, NC 27709-2889 USA Please make a photocopy for your records. DO NOT FAX THIS FORM (original signatures required). Name of presentor__________________________________ Organization_______________________________________ Address.___________________________________________ ___________________________________________________ Telephone__________________________________________ FAX________________________________________________ email______________________________________________ Title of your track________________________________ Title of paper.____________________________________ Cirlce one - paper/panel/video theater/poster AUTHORIZATION I grant permission for the above-referenced material and associated visuals, including slides, video and film, to be presented at the AVS '95 conference, 19 - 21 April, 1995 in Boston, MA. In the event that any materials used in my AVS '94 presentation contain the work of other individuals or organizations including any copyrighted musical compositions or excerpts 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 compositions in film, video, or multimedia persentations. yes/no I have the necessary rights and/or permissions to use the visuals in my piece. yes/no My piece contains audio, and I have the necessary rights and/or permissions to use the audio in my piece. yes/no I grant non-exclusive worldwide distribution rights to the International AVS Center and Advanced Visual Systems, Inc. to publish and distribute my video material in the AVS Video Review. yes/no I agree to supply AVS '95 with the required material by the stated due date and agree to allow it to be published in paper, CD-ROM, and other electronic form. AVS '95 reserves the right to video record presentations for internal use and as an archival record of the current conference. In the event your session is videotaped, the International AVS Center and Advanced Visual Systems, Inc. would like permission to use the video for promotional and educational purposes; speakers will receive full credit whenever the video is used. yes/no I grant the International AVS Center and Advanced Visual Systems, Inc. permission to use the video recording of my presentation for conference and organizational publicity. Signature___________________________ Date________________________________ STATEMENT OF PURPOSE: The AVS '95 Permission to use form explains the uses AVS '95 intends of the presented materials and requires you to acknowledge that you have permission to use this material. This may involve seeking clearance from your employer or from others who have loaned you material, such as videotapes and slides. This form helps prevent situations where AVS '95 presentations include material without permission that might lead to complaints or even legal action. This form must be returned to your program chair as a condition for acceptance to participation in AVS '95. In addition, this form asks if the International AVS Center and Advanced Visual Systems, Inc. may use your materials for conferencand organization prmotional material for full author credit information. All materials are subject to inclusion on CD-ROM distribution media. All materials are subject to inclusion on the International AVS Center World Wide Web URL.