, 19 Title and/or Theme of Material Submitted Hereunder: Ladies/Gentlemen: I am today submitting to you certain material, the title and/or theme of which is indicated above, upon the following express understanding and conditions: 1. I acknowledge that I have requested permission to disclose to you and carry on certain discussions and negotiations with you in connection with said material. 2. I agree that I am voluntarily disclosing said material to you at my request. I understand that you shall have no obligation to me in any respect whatsoever with regard to said material until each of us has executed a written agreement which, by its terms and provisions, will be the only contract between us. 3. I agree that any discussions we may have with respect to said material shall not constitute any agreement expressed or implied as to the purchase or use of any said material which I am hereby disclosing to you either orally or in writing. 4. In the event that you have an independent legal right to use said material which is not derived from me, either because said material submitted hereunder is not new or novel, or was not originated by me, or has not been reduced to concrete form, or because other persons including your employees have submitted similar or identical material which you have the right to use, then I agree that you shall not be liable to me for your use of said material and you shall not be obligated in any respect whatsoever to compensate me for such use by you. Signature: (Print): Name: Address: City: State: ZIP: Telephone: Fax: Email: