Design Meltdown Book Release Form

Would you like to have your site featured in the next Volume of The Web Designer's Idea Book? If so, your in the right place. Simply complete the form below and your site will be added to the list for possible inclusion. Naturally not every site will be used.

Sites worth being submited should above all things be attractive. Beyond that it is nearly impossible to define what exactly should be submitted. So, throw your name in the hat.

Entries must be completed by November 30, 2009.

The Undersigned hereby grants permission to F+W Publications and its imprints to use the works specified in this permission form for the tentatively titled Work:

The Web Designer's Idea Book 2

This permission is for the use of a screen shot of the following website and or html emails sent by the site. (Include the sites full url. Ex: http://www.google.com)

URL:

This material may be used for the book or product named above and in any future anthologies, compilations, derivations, revisions or editions thereof, including nonexclusive world rights in all languages and all media including print, broadcast, and electronic, for the life of the Work. This material may also be reproduced for advertising, publicity, or other means of promotion for the work. It is understood that the grant of this permission shall in no way restrict republication of the material by the Undersigned or others authorized by the Undersigned.

Do you hold the copyrights to the works listed above? (An artist holds the copyright to the work unless he or she has signed a contract stating otherwise.)

Yes
No

If you checked No, do you have permission to use the works above for promotional purposes?

Yes
No

If you checked No for both questions above this url can not be submited for usage.

Please write the copyright information exactly as you’d like it to appear in the book.
(Ex: name © year.)

Personal Information

This information will not appear in the book and is only for the purpose of giving us proper permission to use an image of your site.

Name:
Company:
Address:
City:
State:
Zip Code:
Country:
Phone:
Fax:
E-mail:
Human Detector:

Digital Signature

(Failure to check this will result in your site not being included in the book)

I agree to the terms listed above and by checking this box am officially signing this document.

Please send me announcements regarding this and future books.

f+w publications, inc. • how books
4700 east galbraith road, cincinnati, oh 45236 tel: 513-531-2690 fax: 513-531-2686