<copy and paste this form below your article>

 

 

CERTIFICATION OF ORIGINAL MATERIAL

 

Author:

<Your Name & Address, Email & Phone Number>                                       

 

I hereby certify that I am at least 18 years of age, competent, lawfully and ethically able to convey the submitted article/information/photographs.

 

I hereby certify that the attached submitted material is my own creation, wholly original except as credited within the body of the submitted work, that the work product has not been previously published in whole or in part, and that all statements contained therein are factual and true to the best of my knowledge and belief.

 

I hereby perpetually and irrevocably agree to indemnify and hold George C. Jobel, CrackerJax Marketing and UpStateNH.com, their employees, contractors and successors harmless for any and all consequences, claims, obligations or liabilities, whether direct or indirect, arising out of this transaction including, but not limited to, any claims, obligations or liable, or liabilities arising out of plagiarism, copyright, service mark or trademark infringement or any discomfort, injury or undesired outcome from my participation in this online publication.

 

I agree that all my work product submitted herein at all times shall be yours and you shall be considered the sole owner of all rights in and to the work product, including the right to publish online or in any other manner, or copyright and market the work product in your own name and for your own benefit. You shall have the right to change, alter or edit my submitted work product as you see fit. I agree to sign, upon your request, any additional documents affirming that the work product is in fact a work for hire and belongs exclusively to you.

 

I understand and hereby that:

  1. I have received a total sum of $20 in full payment for each article submitted herewith ($30 if accompanied by original photography that is accepted for publication) when accepted for print or online publication. 
  2. This document contains the entire understanding and agreement between the parties and may not be amended or changed except in writing and agreed to by both parties.
  3. There are no other promises, representations or conditions between the parties.

 

 

I hereby certify the material submitted herein is my own original creation and I now submit it for your acceptance pursuant to the terms above.

 

 <your name>