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.) |
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Acceptable forms of payment are: Check, Money Order, Purchase
Order, Cash, Mastercard or Visa.
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P. O. NUMBER:
CREDIT CARD TYPE:
CREDIT CARD NUMBER:
EXPIRATION DATE:
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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.
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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: