I _________________ on this the day of 2015 do hereby state that:
I am the creator and owner of the copyright of the attached article, poem, share and or artwork.
That the attached article, poem, share and or artwork is an unrestricted gift from me to ACA WSO.
That I am giving the attached article, poem, share and or artwork to ACA WSO, Inc for its consideration in publishing said article, poem, share and or artwork in any ACA WSO, Inc. publication in any form whatsoever now existing or as may hereafter may come into being, including, but not limited to, the ACA ComLine, the ACA WSO website, or any other hard copy or electronic publication.
ACA WSO may, at its sole discretion, edit the article, poem, share or modify any art work as they deem needed.
That I give ACA WSO the right to reproduce, sell and distribute the attached article, poem, share and or artwork without any remuneration or compensation to me or without any reservation on my part whatsoever in law or in equity.
I understand I will not receive any credit for the article, poem, share and or artwork.
I understand that the ACA WSO reserves the sole discretion to decide if it will publish the article, poem, share and or artwork.
Unless I have provided a self-addressed stamped envelope, I will not have the attached article, poem, share and or artwork returned to me if it is not used by ACA WSO.
If the article, poem, share and or artwork is used it is to become the sole property of ACA WSO.
(your name) (date)
Please use a separate form for each submission.
