Document release form - International Association for Hospice & Palliative Care

First name

Last Name

Email address

Repeat email address

City and country where you live

Today's date

Document(s)

Formats accepted: PDF, Microsoft Word or Microsoft PowerPoint. Maximum file size: 10MB

To submit other type of document, please contact the IAHPC Team.

As the owner of the copyright of the documents described below, I hereby grant and authorize the International Association for Hospice and Palliative Care, Inc. (“IAHPC”), a Texas nonprofit corporation, the right to use any document in any lawful organizational materials, including, but not limited to, newsletters, announcements, flyers, posters, brochures, fundraising letters, annual reports, press releases, websites, social networking sites, and other print and digital communications, without payment or any other compensation. This authorization extends to all languages, media, formats and markets now known or later discovered.

Whenever provided in physical format, I understand and agree that these materials will become the property of the IAHPC and will not be returned.

Description of the document and its content

This authorization shall continue indefinitely, and I may revoke it at any time by submitting a notice in writing to the IAHPC.

I hereby hold harmless and release the IAHPC from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate.

I confirm that this material has not been published in any other medium and is not subject to copyright issues.
I confirm that if this material is accepted for publication in the IAHPC Newsletter and other IAHPC media and public fora, it may undergo editing and revisions as deemed appropriate. The final version of this document will be the property of the IAHPC and cannot be used in other publications without prior authorization by the IAHPC.
I confirm that I am the sole author of this material or, if a coauthor, I have permission to share this from the other coauthors.
I confirm that this material has not been submitted for publication in other media.
By clicking this box, I confirm that I have read the above authorization, release, and agreement prior to its execution, and confirm that I am fully familiar with its contents.