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 DMH MEDIA DUPLICATION

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Release Form

CUSTOMER NAME: 

To ensure compliance with the federal copyright laws, DMH Media Duplication  will not copy or duplicate copyright- or trademark- protected materials unless the customer certifies the materials identified may be duplicated or copied by  DMH Media Duplication  without liability for one of the following exceptions: 

A BRIEF DESCRIPTION OF “EXCEPTIONS” 

OWNER - Someone who holds the right to reproduce a copyright- or trademark-protected item is the owner of the item.

AGENT - Someone authorized by the copyright and/or trademark owner to reproduce their work.

Please carefully read the entire Release Form and check one of the following that applies:  (The blue rows)

 

 

 I am the copyright/trademark owner. 

The copyright/trademark owner has granted me permission to reproduce the copyrighted or  trademark protected materials.  
Owners name

Date of Copyright assignment

Stated purpose for assignment and other information

I do not know who the copyright owner is and there is no copyright notice on the copyrighted item indicating  who the copyright owner is. (if the item has a copyright notice, then a search of the catalog of copyright Entries at the US Copyright Office must be conducted.)  If a search of the Catalog of Copyright Entries has been conducted, attach of search reports indicating that the owner is unknown or the product is nonregisterd or falls within public domain. 
Please indicate all resources you have exhausted to locate the copyright owner.

DESCRIPTION OF ITEM TO BE DUPLICATED

Title:    

Description:

 

I am over the age of 18 and warrant that the information provided herein is true and I agree to indemnify and hold DMH Media Duplication harmless from any suit , demand , or claim made against  DMH Media Duplication by reason of breach of this warranty, and I agree to pay any judgment or reasonable settlement offer resulting from any such suit, demand, or claim, and to pay any attorney’s fees incurred by DMH Media Duplication in defending against such suit, demand, or claim.  I agree that DMH Media Duplication may provide a copy of this form to anyone claiming infringement of copyright/trademark in the item(s) described above.

 By checking the box to the left, I certify that to the best of my knowledge the above information is true.

 

 
 

 

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Copyright © 2003 DMH Media Duplication
Last modified: September 22, 2011