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By signing in the space provided below, I hereby accept and agree to the terms and conditions of this Agreement:
  
  Signature:
  
  Name:
  
  Date:   
  
The organization named below acknowledges and agrees that the individual whose signature appears above is released from any obligation to it and/or its affiliates as regards any rights in inventions, discoveries, copyrightable materials or other developments, which obligation is-, or could reasonably be construed to be, in conflict with the terms of this Agreement. The person signing below represents and warrants that he or she is duly authorized to sign this document on behalf of the named organization.   
  Signature:
  Name:   
  Title:   
  Organization:   
  Date:
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