
Contact Information:
Full Name:_________________________________(the "Contributor")
Mailing Address: ______________________________________________
______________________________________________
______________________________________________
email:_________________________ Telephone:______________________ Fax:___________________
Description of Contribution:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Whereas, Contributor owns and has sufficient rights to contribute the software source code and other related intellectual property.
Contributor agrees to the following:
Signature:________________________________________ Date:_______________
Printed Name:__________________________________