Japan Medical Laser Laboratory, Limited, for the full term of copyright and we ... applies only to the extent allowable by U. S. law. ... (If excerpts from copyrighted.
PUBLISHING AGREEMENT Please photocopy this page, fill out as required, and return to the Editor-in-Chief at the address given.
1:
It is our custom to request authors to vest the worldwide copyright of their papers for Laser Therapy in Japan Medical Laser Laboratory, Limited, for the full term of copyright and we would be grateful if you would confirm your acceptance of these terms by signing and returning the agreement below to the Editor at the address as on the inside front cover. Publication of your article cannot be completed until this form, duly completed, is received from the corresponding author. We will not withhold permission for any reasonable request from you to publish any part of this paper in connection with any other work by you, provided the usual acknowledgements are given regarding copyright notice and reference to the original publication.
2:
If it is appropriate, the author’s employer may sign this agreement, and in any event the employer may reserve the right to use the paper internally or for promotional purposes only, by so indicating on this agreement. It is understood that proprietary rights other than copyright (including patent rights) are reserved.
3:
If the author is a U. S. Government employee and this work was done in that capacity the assignment applies only to the extent allowable by U. S. law. If at least one co-author is not a government employee, said author should sign the agreement.
4:
If the author is an employee of the British Government then HMSO will grant a non-exclusive licence to publish this paper in the Journal in any form or media provided British crown copyright and user rights (including patent rights) are reserved.
5:
The author (or in the event of a joint paper, the principal author) warrants that the manuscript is the author’s (or authors’) original work, and has not been published before. (If excerpts from copyrighted works are included, the author will obtain written permission from the copyright owners and show credit to the sources in the manuscript.) The author also warrants that the article contains no libelous or unlawful statements, and does not infringe on the rights of others.
6:
If the work was prepared jointly the author agrees to inform co-authors of the terms of the agreement, and to sign on their behalf.
7:
With the qualifications listed above I assign to Japan Medical Laser Laboratory, Limited, the copyright of my/our paper entitled:
Article Title: ____________________________________________________________________________________ _______________________________________________________________________________________________ Name of Author: ________________________________________________________________________________ Signed: _____________________________________________________ Date: _____________________________
AUTHORS PLEASE NOTE Reprints of your article are available for purchase. If reprints are required, please see the following page for information on ordering, and for payment methods and instructions. Photocopy the page and send together with the Publishing Agreement to the address given.
Requests for reprints must be sent in together with this Publishing Agreement. Reprint orders received after the journal has been published cannot be accepted, and will be returned.
LASER THERAPY ARTICLE REPRINTS IMPORTANT: THIS FORM MUST ACCOMPANY THE PUBLISHING AGREEMENT Author Name: ______________________________________________________________________
Title of Article: _____________________________________________________________________ ______________________________________________________________________________________
PRICE LIST FOR LASER THERAPY REPRINTS (cost shown in Japanese yen [¥]* and is inclusive of postage) Number of
Number of Reprints Required
Pages
50
100
200
300
500
4
16,000
18,000
20,000
23,000
26,000
6
21,000
23,000
25,000
29,000
34,000
8
23,000
25,000
27,000
31,000
36,000
12
28,000
30,000
32,000
38,000
45,000
16+
33,000
35,000
37,000
44,000
52,000
*The prices shown are for black and white reprints. For color reprints, please add approximately ¥23,000 per order.
To the Business manager, Laser Therapy: I require ________________________ reprints of the above article, at a cost of JPY ¥_______________________ I have paid by payment option 1 2 (tick as appropriate) Signature of Author: ____________________________________________
Date: __________________________
1: International Money Order (can be ordered at any major bank: all fees to be paid by sender)
Money order for JPY ¥_____________________* to be in favor of Laser Therapy, and sent with this form by airmail to: Laser Therapy Treasurer, c/o Japan Medical Laser Laboratory, 4F Shinsei Kaikan Bldg., 33-2 Shinanomachi, Shinjuku, Tokyo, Japan 160-0016 *Fill in appropriate amount
2: Credit Card Kindly complete the following information, and send preferably by FAX to +81-3-5269-1410 or by post to the Laser Therapy Treasurer at the address as above. Please debit my Visa Mastercard (tick as appropriate) by the sum of JPY ___________________*. (American Express cards are unfortunately not currently acceptable)
Card Number: __________________________________________________________________________ Name as it appears on the card: ___________________________________________________________ Expiry Date: (Year) 20__________ (Month) __________
3-Digit Security Number: _______________
(Please use double digit numbers for month, e.g. March = 03, November = 11, etc.)
Cardholderís Signature: ____________________________________
Date: ______________________ *Fill in appropriate amount
