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Call Frank at 914.740.4422 or email to ideasmoney@aol.com
 
<<< To transact.
(Copyright 2006 Frank Sisco and Future Dollars.com Corporation. Rights reserved for all intellectual properties and for patentable methods of doing business.)
 

Permission Form

(Note - This form was designed specifically for poets. However, it can apply to other performers such as singers, musicians, writers, storytellers, etc. Under your signature, print your classification, making this form apply to you.)

This form is for a poet (or perfomer, etc.) to use in order to grant his or her permission to Frank Sisco for a video to be taken of the poet and for the video and poem text to be used on this website and in related material (e.g. promotional flyers) as further detaled below. A separate form is required for each videoed event..

If by fax - Please print the form, fill it out and fax it to Frank Sisco at 914.740.4421.

If by email - Please copy the form into an email, fill it out in the email, and send it to Frank at ideasmoney@aol.com.

 

 

 

 

 

 

 

 

 

 

Permission Form

1. I understand that my poetry and writngs and my likeness (video, photos, drawings, etc.) may be included on certain DVDs, videotape copies, websites and related promotional material, and that there is no charge for this service. One use of the information being distributed on websites (including www.VideoVoom.com) is to faciliate the disseminaton of the information because of easy access to the internet for many people. As with most information on the internet, I realize that there are disadvantages (e.g. privacy issues) for me to consider, yet I have decided to give my permission. I hereby give my permission for such to:
a. Frank Sisco regarding his websites called www.VideoVoom.com and www.LifeAndMoney.com
b. Poetry Caravan representatives and their website called www.poetrycaravan.org.

2. I own a copyright in the writing and I do not permit the writing, my likeness, etc. to be sold without my express permission, and if sold I expect to receive remuneration that must be arranged beforehand, except for (a) nominal pay-per-view fees or advertising fees that Frank Sisco may charge to users of his websites to cover his expenses and (b) the sales of DVDs and related media and publications by nonprofit organizations affiliated with such videotaped events.

3. I understand that I can cancel, in writing, this permission at any time and at no charge.

4. Here is my completed information:

a. Today's date _____/_______/________

b1. Video date ______/________/_________ Where video was taken______________________

b2. Organization _____________________________________________________________

c. Name(s) of writing(s) (poems):

___________________________________________________________

___________________________________________________________

___________________________________________________________

d. Copyright _____(year) ___________________________(Author)

e. Name (Print) - ________________________________

f. Address: ______________________Town_________________State_________Zip______

g. Email:_______________________________________

h. Website:_____________________________________

i. Phones (office) - ______________(home) - optional ____________________(cell) - optional_______________________

 

 

j. Signature: X_____________________________

 

 
 
 

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