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BioHorizons Logo and Media Request Form

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<strong>BioHorizons</strong> <strong>Logo</strong> <strong>and</strong> <strong>Media</strong> <strong>Request</strong> <strong>Form</strong><br />

Criteria of use<br />

Applications to use the <strong>BioHorizons</strong> logo or media (images, video, electronic files) will only be considered if your organization is:<br />

a) a current customer of <strong>BioHorizons</strong><br />

b) carrying out work on behalf of <strong>BioHorizons</strong><br />

c) a project partner of <strong>BioHorizons</strong><br />

d) receiving some other support from <strong>BioHorizons</strong>, including approval of educational programs<br />

Contact details<br />

Name:<br />

Organization:<br />

Address:<br />

Tel/Fax:<br />

Email:<br />

<strong>BioHorizons</strong> project contact (if applicable)<br />

Name:<br />

Project/initiative title:<br />

Professional category<br />

If you are requesting to use the logo/images on behalf of someone else or another organization please state here:<br />

<strong>Logo</strong>/image request submitted on behalf of (main contact, organization, address):<br />

Full description of intended <strong>BioHorizons</strong> logo/media usage<br />

Description <strong>and</strong> reason for use:<br />

Period of use:<br />

Please state any other organizations/companies involved in this project:<br />

I wish to include the <strong>BioHorizons</strong> logo/media in the following material:<br />

(please check boxes that apply)<br />

Website<br />

Leaflet/Flyer<br />

Brochure<br />

Advertisement<br />

Corporate folder<br />

Stationery (please state what kind)<br />

Other (please state)<br />

Resolution:<br />

High Resolution (print suitable)<br />

Low Resolution (web suitable)<br />

I would like to request the <strong>BioHorizons</strong> <strong>Logo</strong> in the following colors <strong>and</strong> format/s:<br />

Color (please see <strong>Logo</strong> Usage Guide for guidelines):<br />

Full Color (<strong>BioHorizons</strong> preferred)<br />

Black only<br />

White only<br />

White <strong>and</strong> Orange<br />

F1412 Rev A (Ref. ML0502)<br />

Page 1 of 3<br />

12/10/07


Marktplatz 3<br />

79199 Kirchzarten<br />

Kunden Service:<br />

+49 7661-909989-0<br />

<strong>Media</strong> <strong>Request</strong> <strong>Form</strong><br />

25-33 Allen Street<br />

Waterloo NSW 2012<br />

Customer Service:<br />

+61 2 8399 1520<br />

I would like to request the <strong>BioHorizons</strong> Image from the following product line:<br />

<strong>BioHorizons</strong> Mexico<br />

<strong>BioHorizons</strong> Chile<br />

Kelvin 8 Int. 303<br />

Juan Esteban Montero 5944<br />

Col. Anzures<br />

Las Condes<br />

C.P. 11590, Mexico, D.F.<br />

Santiago, Chile<br />

Image requests<br />

Servicio al Cliente:<br />

+52 55 5545 1297<br />

Atención al Cliente:<br />

+56 2 475 7230<br />

<strong>BioHorizons</strong> USA<br />

2300 Riverchase Center<br />

Birmingham, AL 35244<br />

Customer Care / Servicio al Cliente:<br />

888-246-8338 or 205-967-7880<br />

<strong>BioHorizons</strong> Spain<br />

Bocángel, 38<br />

28028 Madrid, España<br />

Atención al Cliente:<br />

+34 91 713 10 84<br />

<strong>BioHorizons</strong> Canada<br />

21 Amber Street, Unit # 7<br />

Markham, Ontario L3R 4Z3<br />

Customer Care / Service à la Clientèle:<br />

866-468-8338 or / ou 905-944-1700<br />

<strong>BioHorizons</strong> UK<br />

180 Dukes Ride<br />

Crowthorne, Berkshire RG45 6DS<br />

Customer Care:<br />

+44 8700 620 550<br />

image<br />

1<br />

<strong>BioHorizons</strong> Germany<br />

Marktplatz 3<br />

79199 Kirchzarten<br />

Kunden Service:<br />

+49 7661-909989-0<br />

<strong>BioHorizons</strong> Mexico<br />

Kelvin 8 Int. 303<br />

Col. Anzures<br />

C.P. 11590, Mexico, D.F.<br />

Servicio al Cliente:<br />

+52 55 5545 1297<br />

<strong>BioHorizons</strong> Australia<br />

25-33 Allen Street<br />

Waterloo NSW 2012<br />

Customer Service:<br />

+61 2 8399 1520<br />

<strong>BioHorizons</strong> Chile<br />

Juan Esteban Montero 5944<br />

Las Condes<br />

Santiago, Chile<br />

Atención al Cliente:<br />

+56 2 475 7230<br />

image<br />

ucts are cleared for sale in the European Union under the EU Medical Device Directive 93/42/EEC. We are proud to be registered to ISO<br />

ational quality management system st<strong>and</strong>ard for medical devices, which supports <strong>and</strong> maintains our product licences with Health Canada <strong>and</strong><br />

in other markets around the globe.<br />

2<br />

image<br />

3<br />

image<br />

4<br />

<strong>BioHorizons</strong> products are cleared for sale in the European Union under the EU Medical Device Directive 93/42/EEC. We are proud to be registered to ISO<br />

13485:2003, the international quality management system st<strong>and</strong>ard for medical devices, which supports <strong>and</strong> maintains our product licences with Health Canada <strong>and</strong><br />

in other markets around the globe.<br />

© 2007 <strong>BioHorizons</strong> Implant Inc. All Rights Reserved. L0603 REV B DEC 2007<br />

© 2007 <strong>BioHorizons</strong> Implant Systems, Inc. All Rights Reserved. L0603 REV B DEC 2007<br />

w w w . b i o h o r i z o n s . c o m<br />

w w w . b i o h o r i z o n s . c o m<br />

image<br />

5<br />

image<br />

6<br />

image<br />

7<br />

The Document Literature number (seen<br />

above) can typically be found on the back<br />

page of the document. Please include this<br />

number as well as the revision <strong>and</strong> date<br />

when requesting images, as seen in the<br />

bubble above.<br />

When requesting images, please follow the<br />

image above, numbering from left to right,<br />

top to bottom.<br />

Document Literature Number, Page <strong>and</strong> Image Number(s):<br />

example: L0603 Rev B Dec 2007 Page 5, Image 2<br />

F1412 Rev A (Ref. ML0502)<br />

Page 2 of 3<br />

12/10/07


Proper usage of the <strong>BioHorizons</strong> logo/media requires compliance with the following<br />

conditions <strong>and</strong> guidelines:<br />

GENERAL RESTRICTIONS: The maximum extent of logo/media usage allowed is as per individual agreement. The required length of time<br />

must be stated on this form under period of use. If <strong>BioHorizons</strong> approval to use the logo or media has been given this does not grant any<br />

right, title or interest in the logo or media to requested parties, other than the rights specifically granted in the actual approval. The user will<br />

not make any representation or do any act which may be taken to indicate that it has any right, title or interest in the logo or media except<br />

under the terms of the consent issued by <strong>BioHorizons</strong>. The user should not assign, transfer or enable usage of the <strong>BioHorizons</strong> logo or media<br />

to others, without the prior, written consent of <strong>BioHorizons</strong>.<br />

The user should not use the logo, or any part thereof, as part of their name or identity nor use any name or mark confusingly similar to<br />

<strong>BioHorizons</strong> logo or otherwise utilise the logo in a manner intended to link or associate the user or its products or services in any manner<br />

with <strong>BioHorizons</strong>. The user must comply with all applicable laws <strong>and</strong> regulations, in particular, all laws <strong>and</strong> regulations pertaining to proper<br />

protection, use <strong>and</strong> designation of trademarks in the UK <strong>and</strong> any countries in which they intend to use the logo.<br />

LOGO SPECIFICS : The user must:<br />

(i) not alter or modify the logo in any way;<br />

(ii) ensure the logo appears <strong>and</strong> is printed in its entirety, as supplied, by itself <strong>and</strong> not combined with any other graphic or textual elements;<br />

(iii) ensure the logo is not used as a design element of any other logo or trademark;<br />

(iv) not use the <strong>BioHorizons</strong> logo in any manner that might disparage or injure <strong>BioHorizons</strong>’ reputation;<br />

(v) not use <strong>BioHorizons</strong> logo in any media that is in violation of any applicable laws or governmental regulations;<br />

(vi) ensure that the use of the <strong>BioHorizons</strong> logo is truthful <strong>and</strong> not misleading. The user must not use the logo to imply any relationship<br />

with, or endorsement or sponsorship by, <strong>BioHorizons</strong> that is not true. The user must not use the <strong>BioHorizons</strong> logo in connection with any<br />

disparaging or negative statements about <strong>BioHorizons</strong> or any of <strong>BioHorizons</strong> activities etc.<br />

<strong>Media</strong> SPECIFICS : The user must:<br />

(i) not alter or modify the medias in any way;<br />

(ii) ensure the media appears <strong>and</strong> is printed in its entirety, as supplied, <strong>and</strong> not combined with any other graphic or textual elements;<br />

(iii) not use <strong>BioHorizons</strong> media in any media that is in violation of any applicable laws or governmental regulations;<br />

(iv) ensure that the use of the <strong>BioHorizons</strong> media is truthful <strong>and</strong> not misleading. The user must not use the media to imply any procedure<br />

that is not true to its intended use. The user must not use the <strong>BioHorizons</strong> media in connection with any disparaging or negative statements<br />

about <strong>BioHorizons</strong> or any of <strong>BioHorizons</strong> activities etc.<br />

On application, the user agrees <strong>and</strong> supplies <strong>BioHorizons</strong> with all locations <strong>and</strong> forms of their use of the logo/media. User should also<br />

be made liable to remedy any deficiencies in logo/media usage, as determined by <strong>BioHorizons</strong> in its sole discretion, upon notification by<br />

<strong>BioHorizons</strong> <strong>and</strong> in the manner requested by <strong>BioHorizons</strong>.<br />

INDEMNITY CLAUSE: The user shall be liable for <strong>and</strong> will indemnify <strong>BioHorizons</strong> against all liability, loss, damages, costs, professional <strong>and</strong><br />

other expenses of any nature whatsoever incurred or suffered by <strong>BioHorizons</strong>, whether direct or consequential arising out of the use by the<br />

user of the logo or media, except insofar as any such loss may arise from the negligence of <strong>BioHorizons</strong>.<br />

RESERVATION OF RIGHTS: <strong>BioHorizons</strong> must reserve the right to terminate, revoke, modify or suspend its approval of logo/media usage<br />

<strong>and</strong> any rights arising out of or in connection with the approval, in whole or in part, without cause, at its sole discretion at any time.<br />

Permission to use the logo or media will only be granted upon receipt of a proof of all printed material or a representation of any electronic<br />

display being forwarded to <strong>and</strong> approved by <strong>BioHorizons</strong>.<br />

Permission to use the logo or media will only be granted to specific projects, programs, initiatives <strong>and</strong> the logo or media must not be attached<br />

to other projects/programs, initiatives promoted by the same user. If the user completes, terminates or withdraws from the specific activity<br />

the logo or media was approved for, then they must immediately cease to use all printed material/stationery containing the <strong>BioHorizons</strong><br />

logo/media <strong>and</strong>/or delete the logo/media from their electronic display.<br />

I hereby agree to comply with the above terms <strong>and</strong> conditions:<br />

Signed<br />

Date<br />

Notes<br />

•<strong>Request</strong>s must be submitted on this official form only <strong>and</strong> must be mailed or faxed to <strong>BioHorizons</strong> communications for approval. One form<br />

per each request, duplicated if needed.<br />

•Submitting the request form does not guarantee approval.<br />

•Once approval has been authorised the <strong>BioHorizons</strong> communications team will forward the logo <strong>and</strong> <strong>BioHorizons</strong> logo usage guide<br />

Please return to Creative Department, <strong>BioHorizons</strong>, 2300 Riverchase Center, Birmingham, AL 35244<br />

or Fax 205-870-0304<br />

F1412 Rev A (Ref. ML0502)<br />

Page 3 of 3<br />

12/10/07

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