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Portfolio Registration FIRST NAME LAST NAME MIDDLE INITIAL   TITLE   COMPANY   ADDRESS   CITY STATE / PROV ZIP CODE   COUNTRY PHONE   EMAIL     PAYMENT PORTFOLIO REGISTRATION FEE: $245 Pay Online Pay by check MAIL CHECK TO: Exhibitor Group PO Box 5996 Rochester, MN 55903-5996 E-Mail:CTSM@exhibitorgroup.com   PUBLICATION RIGHTS By submitting this form I understand that Exhibitor Group is a co-sponsor of the CTSM program, and that Exhibitor Group contributes significant resources to the CTSM program and is interested in having the right to publish any and all written and visual materials, or summaries or revisions thereof, that I might create or submit as part of my work and participation in the CTSM program. I hereby agree that Exhibitor Magazine Group shall have an exclusive right of first refusal to publish works of authorship created by me, in whole or in part. This right of first refusal shall last for a period of 365 days from the date of my submission of the Portfolio, and I agree that I shall neither publish the materials myself, nor shall I submit them for publication by others during the 365 day period. I further agree that Exhibitor may publish, reproduce, distribute and prepare derivative copies of my work, throughout the world and without reservations, all without compensation to me. Exhibitor may notify me within the 365 day period of its intent to publish my work at a later time, and the notification to me shall automatically extend the period of time during which I agree not to publish the work for an additional 365 days. If I receive no such notification within the initial 365 day period, I am free to publish my work anywhere I choose to do so. CTSM candidate acknowledges that by submitting this form, he/she is agreeing and expressing intent to uphold the contract and the terms and conditions listed within. Please print this form for your records.	Questions? Contact CTSM: CTSM@exhibitorgroup.com