Document Jr7xoRxQba1jq1bwpwjVEQ0wO

crxr O ui Society of Toxicology 1821 M ichael Faraday Drive, Suite 300 Resto Virginia 2 0 RS; (703! 438-3115 Fas: <703) 438-3113 E-srsaih ro!:bqV1o:\:u:oloyy.o?'y Web site; wwvv'.toxieeiogy.erg License and Release for SOT Use of Materials The Author identified below hereby grants to the Society of Toxicology ("SOT") the nonexclusive worldwide right and license to reproduce, copy, electronically store, publish, distribute, and, if a charge will be associated with the use of the materials, sell the materials identified below, wholly or in part, throughout the world, including translations in all formats and media of expression now known or later developed, including electronic, for noncommercial use. While the author licenses the use of his or her work to SOT and retains copyright to that material, SOT retains copyright for any course, publication, webinar, or any other larger work of which this contribution may be a part, in the entirety o f the larger work. The Author hereby represents and warrants that: 1) he or she either owns and holds the copyright to the materials or would to the best of his or her knowledge and belief be entitled to copyright protection were an application to be submitted; 2) he or she has the authority to grant this nonexclusive license; 3) SOT's exercise of its rights hereunder will not infringe upon any other person's or entity's copyrights or other proprietary rights; 4) SOT may use his/her name, photo, or likeness in connection with promoting or advertising the work and any adaptation thereof. SOT agrees to give the Author appropriate credit in all reproductions, copies, and publications of these materials described below. For Authors who are U.S. Government employees, this agreement applies only to the extent to which the Author has rights to grant permission Materials created fo r:_________________________________________________________________ T itle:_______________________________________________________________________________ Text or slides: P h o to g r a p h s :______________________________________________________________ V ideo:___________________________________________________________________ O ther____________________________________________________________________ Permission for author's e-mail address/contact information to be visible on materials [ ] to SOT members only [ ] to SOT members and nonmembers Author: Printed Name Signature Date Rev. 7/22/11 Return completed and signed form to SOT Attention: Tierre Miller 1821 Michael Faraday Drive Suite 300 Reston, Virginia 20190 FAX: 703 438-3113 or PDF to tierre@toxicolog<-T.org Sierra Club v. EPA 18cv3472 NDCA Tier 2 ED 002061 00041470-00001