I, the undersigned, declare that the article titled, [ Article Title ] and submitted for the publication to [ Publishing Company ]., is original and that I, as author or coauthor, hold the entire exclusive copyright of the material.
I hereby transfer to[ Publishing Company ], all rights, including subsidiary rights, for the article. I am hereby relinquishing to [ Publishing Company ] all control over this material such as rights to make or authorize reprints, to reproduce the material in other journals, magazines, books or web sites.
The author grants and assigns exclusively to [ Publishing Company ] for its use any and all rights of whatsoever kind now or hereafter protected by the copyright laws of Canada, United States and all foreign countries in all languages in and to the above named article, including all subsidiary rights. [ Publishing Company ], in turn, grants the author the right of replication in any book or electronic medium of which the undersigned is an author, subject only to giving proper credit in the book to the original magazine publication of the article by [ Publishing Company ]
I agree that my name, likeness and biographical material, including affiliations, may be used in connection with and promotion of the work.
If the article is suitable for submission, the author will receive $25 per submission from [ Publishing Company ] for the use of this material. If deemed unsuitable no monetary payment will be given to the author and all rights transfer back to the original author.