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Get Fujitsu Contest Release Form

CONTEST RELEASE FORM Please complete and sign this form. You must provide a signed Contest Release Form to Fujitsu upon request. I also agree that the entry may in Fujitsu s sole discretion be posted online at the contest website and/or any other website as determined by Fujitsu for visitors to the website s to view. Further I represent and warrant that I own all right title and interest and have obtained all appropriate permissions and releases to grant Fujitsu ownership of all entries and the content thereof which shall include but not be limited all right title and interest to any patent trademark trade secret copyright or other proprietary rights including but not limited to privacy and publicity rights in and to all entries and to enable Fujitsu to use all entries as described in the official rules herein. I further represent and warrant that I have obtained a Participant Release Form from any identifiable person who appears in is heard in has allowed the use of his/her name likeness or voice in the entry or that has otherwise contributed to the entry. Please type or print clearly in ink Title of Work Name Address City State Zip Telephone Cell Email Date of Birth By submitting my entry to the Contest in accordance with the official rules I hereby grant Fujitsu and its designees the perpetual worldwide right to edit adapt modify reproduce promote publish and otherwise use my Entry and/or its contents in any way and in any media for trade advertising promotional and/or any other purposes as Fujitsu and/or its designees may determine or see fit without having to seek permission from and without consideration or notification to any participant or any third party. I also agree that the entry may in Fujitsu s sole discretion be posted online at the contest website and/or any other website as determined by Fujitsu for visitors to the website s to view. Further I represent and warrant that I own all right title and interest and have obtained all appropriate permissions and releases to grant Fujitsu ownership of all entries and the content thereof which shall include but not be limited all right title and interest to any patent trademark trade secret copyright or other proprietary rights including but not limited to privacy and publicity rights in and to all entries and to enable Fujitsu to use all entries as described in the official rules herein* I further represent and warrant that I have obtained a Participant Release Form from any identifiable person who appears in is heard in has allowed the use of his/her name likeness or voice in the entry or that has otherwise contributed to the entry. If Participant is a minor I have received the written consent of Participant s legal guardian* I hereby agree to indemnify defend and hold harmless Fujitsu and its affiliates licensees successors and assigns from and against any and all liability losses costs and expenses including attorneys fees incurred as a result of any entry submitted to Fujitsu in violation of any terms contained in the official rules including but not limited to any failure on my part to obtain the releases required in the official rules. .

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