Facing North Contributor Form
Please fill out this page and return a copy to me as soon as possible.
Review Title(s)_______________________________________________________________________ Today's Date ______________________
Reviewer’s legal name: ______________________________________________________ Pen name ____________________________________
Address _______________________________________________________________________ City/State/Province/Zip ____________________
Phone _______________________ E-mail _____________________________ Website ______________________________________________
I would like to have the following contact information included with my writings _________________________________________________________
____________________________________________________________________________________________________________________
I certify that I alone have written the reviews I submit to Facing North. ______ (your initials)
I hereby offer the following rights to Facing North: the right to publish on the Facing North website; rights to reprint in any future Facing North publication; all electronic rights for 6 months from date of publication, with this exception: you retain the right to publish your work on a website of your own at any time.
_______ (your initials)
If you do not agree with any portion of the above statements, please amend as necessary.
I understand that there is no payment offered. _________ (your initials)
I understand that my review may be edited before publication and that that submitting a review does not guarantee publication if the Editor deems the quality inadequate. _______ (your initials)
As creator of this piece, I indemnify and hold harmless Facing North and any person or entity connected with Facing North against any legal action brought because of publication of this piece.
Signature (legal name) _________________________________
For Facing North _______________
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Please make a copy for yourself and return an original to:
Lisa Mc Sherry, Facing North, 325 Washington Ave S #272, Kent, WA 98032
lisa@facingnorth.net,