Speaker Agreement and Release Form by Dwaynewright

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									                       Speaker Agreement and Release Form

Complete the information below and fax it to Madeleine Saikaley by September 18th, 2009
              Fax: 613-736-9852 or email your request to msaikaley@gtec.ca

This Agreement and Release is made by:

Full Name: ____________________________________________________________________

Company: __________________________________Phone: _____________________

Fax: ________________________________Email: ____________________________________

Address: ______________________________________________________________________

City: ___________________Province: _______________ Postal Code: ________________

The Event is: The GTEC 2009 Conference

I ACCEPT THE OFFER OF UNITED BUSINESS MEDIA TO PARTICIPATE AS A SPEAKER AT THE EVENT. I
UNDERSTAND AND AGREE THAT:


    •    By participating as a Speaker at the Event, I consent to the terms and conditions of this Agreement
         and Release, even if I have not executed this form and returned it to United Business Media as
         requested below.
    •    I will not be paid for my services as Speaker, nor will my expenses be reimbursed, unless I have a
         separate fully executed compensation agreement with United Business Media regarding the Event.
         No fees will be paid on account of any reproduction or distribution of any materials that include any
         aspect of my participation in the Event.
    •    I will fulfill the Speaker obligations described in the Speaker Guidelines for the Event, including but
         not limited to deadlines for producing materials and other requirements.
    •    The Event is an educational event, not a sales or marketing platform. United Business Media is
         retaining me to provide an objective presentation that meets the educational needs of the Event
         attendees.
    •    United Business Media may record, in any format, my presentation at the GTEC 2009 Conference.
         For consideration, hereby acknowledged to be received, on my own behalf and on behalf of my
         employer, I grant to United Business Media and its designees, the irrevocable right to record,
         transcribe, reproduce, display and distribute, in whole or in part, my presentation on or over the
         GTEC Conference web site for a period of one year from the date of my presentation, and I
         consent to the use of any text, other image, or sound in conjunction with my presentation. Any
         such reproduction, display or distribution of my presentation on the GTEC web site will be in good
         taste, and in compliance with all relevant laws. I waive and release United Business Media from all
         claims arising out of such use of my presentation made in accordance with this Release.

I am over 18 years of age and have the right to contract in my own name, and to make the above
commitments on my own behalf and on behalf of my employer. I understand that this Release binds me and
my employer, and our respective legal representatives, assigns, and heirs.

I have read and understood this Speaker Agreement and Release.

Date & Signature: ____________________________________________________________

								
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