Copyright Assignment Form

Copyright Assignment Form
By signing this form I/we certify that the paper we are submitting is my/our original work and has never been published or has been submitted for consideration for publishing anywhere. I/we declare that I/we have sought and obtained authorization from our co-authors with regard to the permission for submission of this paper.
Title of Journal/Paper
Name of Author(s)
Your Name
First NameLast Name
Your Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Your Phone Number
Please enter a valid phone number.
Your Email Address
example@example.com
Does the copyright belong to the author(s)
YesNo
Name of Copyright Holder
Address of Copyright Holder
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
I hereby express, in my own capacity, or in the capacity vested in me by the author(s)/co-author(s), grant the Publisher the exclusive right to use, reproduce, and/or distribute the above-specified paper. This right gives Publisher the authorization to use, reproduce, and distribute the works created b the above-named author(s) in print or electronic format.
I/We understand that by transferring the copyright, I/we shall be prohibited to post the paper online or publish it anywhere, with another publisher, in whole, or in substantial partitions.
I/We understand that the content of the paper shall be the responsibility of the author(s) and in no case, that such responsibility shall pass to the Publisher.
I/We understand that by assigning this copyright, we agree to the terms and of the Publisher.
Signature
Clear
Date Submitted
MonthDayYear
Date
Should be Empty: