robertj@tekgen.bv.tek.com (Robert Jaquiss) (05/11/91)
Index Number: 15479 CBFB INSTITUTIONAL REGISTRATION FORM The one-time membership fee of $25 entitles the institution to $40 worth of FREE computerized books and CBFB's quarterly magazine. The free books must be ordered with your registration. To join, please supply the information required below and return this form with payment to: Computerized Books for the Blind 52 Corbin Hall University of Montana Missoula, MT 59812 Phone: 406/243-2899 FAX: 406/243-2349 InterNet Email Address: cbfb_gwk@umt.umt.edu INSTITUTION NAME: CONTACT PERSON: ADDRESS: CITY: STATE: ZIP: COUNTRY: PHONE: FAX NUMBER: COMPUTER EQUIPMENT Please provide the following information about your computer: Make and Model (check that which applies): IBM XT_______ IBM AT_______ IBM PS/2 and Compatible_______ APPLE II_____ MACINTOSH_____ VERSABRAILLE II_____ EUREKA_____ OTHER(specify)_____ Type of Disk Drive and Disk Density (check all that apply): 5.25 inch ______ 3.5 inch ______ Hard Disk Drive _____ Double Density Disks _____ High Density Disks ______ CBFB INSTITUTIONAL LICENSING AGREEMENT CBFB's ability to provide electronic materials depends on member cooperation. The materials provided are donated to CBFB by publishers. In return, CBFB agrees only to duplicate materials for distribution to verified print-disabled members of CBFB. Institutional members of CBFB agree to the following terms: 1. CBFB grants you a paid-up, non-transferable, institutional license to use materials received from CBFB on one microcomputer or workstation at a time. The copyrighted electronic materials are to be used only by verified print- disabled individuals or counselors, teachers and/or trainers working with the print-disabled. (Clarification: An institution that purchases multiple copies may use each copy on a different machine.) 2. Institutions using multiple copies of an electronic book for group training, classes or any other purpose must purchase a separate copy for each individual computer that will be used. Institutions must get expressed written permission from CBFB Networks. 3. Institutional members may NOT make copies of the electronic books to distribute to clients, students, employees, or any other individual or institution. 4. CBFB grants you the right to make a backup or archival copy of the electronic book. 5. Institutional members must take reasonable precautions to ensure that the copyrighted electronic materials are not duplicated by users of the materials. 6. CBFB DOES NOT grant the use of the books in any manner other than stated in this agreement. 7. CBFB will replace, at no charge, defective materials that are returned within 90 days of the original date of purchase. 8. Other than the limited warranties stated in this agreement, CBFB MAKES NO OTHER IMPLIED WARRANTIES OF MERCHANTABILITY OR WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE. 9. You are legally accountable for any violation of this Licensing Agreement or of Copyright, Trademark, or Trade Secret Laws. If you agree to these terms, please sign and date this agreement. Signature: Date: NAME OF BOOK | AMOUNT ------------------------------------------------------|---------- 1. 2. 3. 4. 5. LESS $40 OF FREE BOOKS ($40) BOOKS SUB-TOTAL (not less than zero) REGISTRATION FEE $25 ______________________________________________________|__________ TOTAL ENCLOSED (In U.S. Currency Please.) | ----------------------------------------------------------------- Acceptable forms of payment are: Check, Money Order, Purchase Order, Cash, Mastercard or Visa. ----------------------------------------------------------------- P. O. NUMBER: CREDIT CARD TYPE: CREDIT CARD NUMBER: EXPIRATION DATE: ----------------------------------------------------------------- CBFB grants fee waivers upon request for individual members. Please use the form provided in the file called WAIVER.FRM when requesting a fee waiver. ----------------------------------------------------------------- POTENTIAL USERS Do you know someone who could use CBFB's services? If you do, please complete the following information and CBFB will send them an Information Packet. NAME: ADDRESS: CITY: STATE: ZIP: COUNTRY: PHONE NUMBER: MAKE OF COMPUTER AND DISK DRIVE SIZE: Special notes or comments: