Copyright Transfer Form

I am preparing materials to be contributed to the Purdue Cytometry CD-ROM series:

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Publication: The Purdue Cytometry CD-ROM Series
Publisher: Purdue University, West Lafayette, IN, 47907
Publication date: December 1997
Approximate size: 3,000-7,000 files; 500-2,000 images

I request permission to include the material specified below in this and subsequent editions of the Purdue Cytometry CD-ROM. The CD-ROM series is an educational tool used for all levels of education in the field of cytometry. The CD-ROM contains text, images, audio and video material.

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Book Authors/Editors:______________________________________________
Copyright date: __________________________________________________
Title of Book or Periodical:__________________________________________
Chapter or section title: ______________________________________________
Author of chapter or section:_________________________________________

Images:
Figure #__________ page #__________
Tables#__________ page #__________

Text:
Page #:__________ from line #:__________ Beginning with:_____________________
Page #:__________ to line #:__________ Ending with:_____________________

Requester’s Name:___________________________________________________
Requester’s Address:___________________________________________________
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AGREED TO AND ACCEPTED BY:

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