Crystal Meth Anonymous, Inc. -- Print and Send Submission Form

*** All fields must be filled in and and document signed before submission will be accepted. ***

TRANSFER AND ASSIGNMENT OF ALL RIGHTS,
TITLE AND INTEREST IN ORIGINAL LITERARY WORK AND ACKNOWLEDGEMENT OF ORIGINALITY



(This form is intended for original material submitted to Crystal Meth Anonymous, Inc. and Crystal Meth Anonymous, Inc., and must accompany all submissions in order for such material to be published. All materials submitted become the property of Crystal Meth Anonymous, Inc.)

With this document, I, the undersigned Crystal Meth Anonymous (hereinafter referred to as CMA) member, hereby grant permission to Crystal Meth Anonymous, Inc., a California corporation (hereafter referred to as CMA) and their successors, assigns, and those acting on their authority, to publish the attached material entitled or described as follows:

I further acknowledge and agree that:

1. I possess full legal capacity to exercise this authorization and hereby release CMA and CMAGSO from any claims by myself, my successors, and/or my assigns regarding the attached material.

2. This transfer includes the assignment and transfer of any and all claims I may have to United States and foreign copyrights, claims of authorship or origination.

3. I am the author of this work, i.e. this work is completely original and I have not used any third party source(s), in part or in whole, to create this work unless said third party source or sources are given full credit within the body of this work and further that said third party
or parties have given written permission for said use, copies of which are attached hereto.

4. CMA and/or CMAGSO may change, modify or revise this work to whatever extent either or both deem necessary. I understand that, if selected for publication, this material will be edited in keeping with CMA's understanding of the Twelve Steps and Twelve Traditions. Submissions will also be copyedited to ensure ease of comprehension and adherence to standard rules of grammar and punctuation as well as current CMA and CMAGSO style guidelines. In addition, editorial staff may also substitute different words and/or revise sentence structure for clarification. I further understand that this material may be retitled and/or reprinted in more than one CMA or CMAGSO publication.

__________________________________________________ With your signature on this line, you are acknowledging that you have read and agree to the release above.



Name: ________________________________________ Email: ________________________________________ Phone: ________________________________________

Your Address/City/State/Zip: ________________________________________ ________________________________________

Story text: ________________________________________ ________________________________________


Please right click and print this form then mail your submission to:
CMA General Services . 4470 W Sunset Blvd Ste 107 PMB 555 . Los Angeles CA 90027-6302 . Attn: Submissions