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					                                  JACK M. FREEDMAN
   92 Parkview Loop Staten Island, NY 10314 (347) 276-0915 jfreedman@si.rr.com

To: Contributors to “Trails Through The Greenbelt” anthology
From: Jack M. Freedman, Editor

Thank you for your contributions to the anthology. It is gratifying that so many authors and artists with
connections to Staten Island have shared their work with all of us.

It is necessary that you sign the following agreement in order that your contributions be included in the
anthology.

          I give consent that my contribution be published in the anthology.
          I affirm that I am the original author of the following titles (please list titles)




          I understand that the anthology will be copyrighted in the name of Jack M. Freedman,
           Editor.
          I will retain all rights to my personal work and may copyright my own work if I choose to do
           so.
          If I wish, I may submit a 50-word autobiographical statement to be printed in the anthology.
           This statement will be written on Page 2 of this agreement and mailed to Jack. SNAIL MAIL
           ONLY!!!
          I understand that if I do not mail this signed agreement to Jack, my work will not be
           included in the anthology. I agree to return this form by July 1 st, 2007. NO EXCEPTIONS!!!
          I will return this agreement to Jack or mail it to the address shown above. Any questions
           can be directed to Jack by e-mail or phone.

Please provide your e-mail address, your home address, or your phone number so that we may notify
you when the anthology is published.

NAME: _________________________________________
SIGNATURE: ____________________________________
DATE: __________________________________________
CONTACT INFO: ________________________________

Please return both pages of this agreement.

Thank you once again for all you have done to make our anthology a reality.



Jack M. Freedman
Editor of “Trails Through The Greenbelt”
AUTOBIOGRAPHICAL STATEMENT (Optional)

				
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posted:9/15/2012
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