® Complete this form

with name, company name, signature, and date.

Email: Becky@RefiningCommunity.com
part of the group Mail: RefComm Inc.
800 Cranberry Woods Dr. Suite 220
Cranberry Twp, PA 16066 USA

Permission to Distribute Presentation

At RefComm® Global, a virtual event to be held the week of 2-6 November 2020, the conference program will be
available to registered participants either via on-demand pre-recorded video files or via live scheduled webcasts.
The presenter’s name, bio, and image along with the presentation title, and abstract will identify their topic on the
Internet, brochures, and conference proceedings.
Presentations are promoted before and are available on demand during RefComm® Global on websites associated
with the RefComm® Inc (and parent company, CRU Group).

I, of
Presenter Name Presenter Company

grant RefComm Inc. permission:

Do not
Grant grant
permission permission
To identify me on RefComm’s website, social media and other marketing material.

To make my presentations available at RefComm Inc. websites in video format.

To have video recordings of me and my presentation used by RefComm Inc. durning and
after RefComm® Global 2020

To have my pre recorded presentation available to conference participants during the

conference week.

I realize that REFCOMM has done due diligence to provide a secure virtual environment
for RefComm Global and has not authorized, nor is responsible for, any third party
recording of my material.

RefComm Inc. may use, reproduce, and/or publish photographs and/or video that may pertain to me–including
my image, likeness, and/or voice without compensation. I understand that this material may be used in various
publications, educational resources, promotions, or for other related endeavors. This material may also appear on
RefComm Inc. websites, social media, and Internet video channels. RefComm Inc. may publish materials, use my
name, photographs, and/or make reference to me in any manner that RefComm Inc. deems appropriate in order to
promote and publicize service opportunities.

Signature Date