Enlarge browser to full-screen. Print two copies of this agreement. Fill it out, and mail both copies to Sime~Gen Inc., P. O. Box 1244, Murray, KY 42071-0022, U.S.A. Alternatively, you may fax one copy of the signed form to (253) 541-5962. A representative of Sime~Gen Inc. will sign and return one copy to you.
Agreement Form for Reviewers
Name:__________________________________________________________________
Address:______________________________City:_______________________________
State/Province________________Postal Code:______________Country:______________
E-mail:_______________________________ Phone:_____________________________
(emergencies only)
Fax:_________________________________AIM Handle:_________________________
How you want any copyright notice in your name to read:____________________________
I hereby affirm that I have read the Reviewers Agreement for Sime~Gen Inc. and simegen.com and agree to the terms therein.
Date:________________________________Year________
This form must be signed to be valid.
Parental consent form must be filed in addition to this form if Reviewer is under 18 years of age.
Signature:_____________________________Witness:_____________________________
For Sime~Gen Inc:______________________Witness:_____________________________