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  1. NAUTILUS SUBMISSION & AUTHORIZATION:
  2. I herewith submit the following materials to NAUTILUS for inclusion on its CD ROM-based information service:
  3.  
  4. Description of materials: ______________________________________
  5.  
  6. ____________________________________________________________
  7.  
  8. Instructions/ReadMe included? ________________________________
  9.  
  10. System and Memory requirements for full product: _______________
  11.  
  12. ____________________________________________________________
  13.  
  14. System and Memory requirements for demo version (if applicable):
  15.   
  16. _____________________________________________________________
  17.  
  18. Full product price: ________  Demo price (if applicable): _________
  19.  
  20. Name:  ______________________________________________________
  21.  
  22. Company Name:  ______________________________________________
  23.  
  24. Address:  ____________________________________________________
  25.  
  26. City:  ____________________   Province/State:  ___________________
  27.  
  28. Country/Postal Code/Zip Code: __________________________________
  29.  
  30. Telephone #  ____________________ Fax #  ______________________
  31.  
  32. Online Service #  _____________     Online Service #  _______________
  33.  
  34. With this signature, or by this electronic communication, authorization is granted to use the above described material(s), product(s), demo(s), presentation(s), and/or information on NAUTILUS and in its related promotional and informational materials.  I warrant that I control the rights to said materials, and that they may be published on NAUTILUS.
  35.  
  36. _____________________________________________________________
  37. Authorizing Signature                                                        Date
  38.