Assignnment and Transfer of Copyright

Please complete the form below to confirm and approve printing of the work you are submitting for National Parliamentarian magazine. If you have any questions please contact .

"*" indicates required fields

I hereby certify that I am the ______________ of the work named above, and have the right to grant permission or reprint the work.*
The work _____________________________________*
The work _____________________________________*

MM slash DD slash YYYY

Still have questions?