Release

I, _______________________________________________________, by my signature below, authorize The Institute for Open Economic Networks (I-Open) to: • Create audiotapes, video recordings, motion pictures, records, photographs, notes and/or transcripts of my presentation at ___________________[insert name of event]____________________________________, on ______[insert date of event here]_______________including but not limited to my slides, handouts, likeness, voice and name (the “Presentation Materials”); Prepare derivative works from the Presentation Materials; and Use, edit, reproduce, distribute, exhibit, display, publish, perform the Presentation Materials, or any excerpt thereof, and any derivative works, as still photographs, transparencies, motion pictures, television, video, sound recordings, electronic images, videos, web pages, transcripts, documents, files, or other medium in connection with The Institute for Open Economic Networks (I-Open) economic education programs, intranet or public web sites, or for educational, scholarly, research, or any other use, by the Institute, or a third party, at the sole discretion of The Institute for Open Economic Networks (I-Open).

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I hereby release The Institute for Open Economic Networks (I-Open), and any employees, officers and associates, as well as any assignees, from any and all claims for damages for libel, slander, invasion of privacy, right to publicity, Copyright 2010 The Institute for Open Economic Networks (I-Open), 4415 Euclid Ave Suite 306, Cleveland, Ohio 44103 Phone: 216-220-0172 Web: https://sites.google.com/site/instituteopeneconomicnetworks/ 1

copyright violation, trademark violation, or any other claim based on use of the above-described material(s). Presenter's signature: ______________________________________________ ________________________________________________________________ Address:_________________________________________________________

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Phone and E-mail: ________________________________________________________________ ________________________________________________________________ Date:_________________________

Copyright 2010 The Institute for Open Economic Networks (I-Open), 4415 Euclid Ave Suite 306, Cleveland, Ohio 44103 Phone: 216-220-0172 Web: https://sites.google.com/site/instituteopeneconomicnetworks/

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