NAUTILUS Submission & Authorization: I herewith submit the following materials to NAUTILUS for inclusion on its CD ROM-based information service: Description of material(s):____________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Instructions (ReadMe included?) _______________________________________ __________________________________________________________________ __________________________________________________________________ Name __________________________________________________________________ Company Name __________________________________________________________ Address _______________________________________________________________ City __________________________ Province/ State ____________ Zip ______ Country _______________________________________________________________ Telephone # ____________________________ FAX# _____________________ On-Line Service # ______________________ With this signature, or by this electronic communication, authorization is granted to use the above described material(s), product(s), demo(s), presentation(s), and/or information on NAUTILUS and in its related promotional and informational materials. I warrant that I control the rights to said materials, and that they may be published on NAUTILUS. _________________________________________________________ _______ Authorizing Signature Date