BioHorizons Logo and Media Request Form

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Marktplatz 3 79199 Kirchzarten Kunden Service: +49 7661-909989-0 Media Request Form 25-33 Allen Street Waterloo NSW 2012 Customer Service: +61 2 8399 1520 I would like to request the BioHorizons Image from the following product line: BioHorizons Mexico BioHorizons Chile Kelvin 8 Int. 303 Juan Esteban Montero 5944 Col. Anzures Las Condes C.P. 11590, Mexico, D.F. Santiago, Chile Image requests Servicio al Cliente: +52 55 5545 1297 Atención al Cliente: +56 2 475 7230 BioHorizons USA 2300 Riverchase Center Birmingham, AL 35244 Customer Care / Servicio al Cliente: 888-246-8338 or 205-967-7880 BioHorizons Spain Bocángel, 38 28028 Madrid, España Atención al Cliente: +34 91 713 10 84 BioHorizons Canada 21 Amber Street, Unit # 7 Markham, Ontario L3R 4Z3 Customer Care / Service à la Clientèle: 866-468-8338 or / ou 905-944-1700 BioHorizons UK 180 Dukes Ride Crowthorne, Berkshire RG45 6DS Customer Care: +44 8700 620 550 image 1 BioHorizons Germany Marktplatz 3 79199 Kirchzarten Kunden Service: +49 7661-909989-0 BioHorizons Mexico Kelvin 8 Int. 303 Col. Anzures C.P. 11590, Mexico, D.F. Servicio al Cliente: +52 55 5545 1297 BioHorizons Australia 25-33 Allen Street Waterloo NSW 2012 Customer Service: +61 2 8399 1520 BioHorizons Chile Juan Esteban Montero 5944 Las Condes Santiago, Chile Atención al Cliente: +56 2 475 7230 image 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 ational quality management system standard for medical devices, which supports and maintains our product licences with Health Canada and in other markets around the globe. 2 image 3 image 4 BioHorizons 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 13485:2003, the international quality management system standard for medical devices, which supports and maintains our product licences with Health Canada and in other markets around the globe. © 2007 BioHorizons Implant Inc. All Rights Reserved. L0603 REV B DEC 2007 © 2007 BioHorizons Implant Systems, Inc. All Rights Reserved. L0603 REV B DEC 2007 w w w . b i o h o r i z o n s . c o m w w w . b i o h o r i z o n s . c o m image 5 image 6 image 7 The Document Literature number (seen above) can typically be found on the back page of the document. Please include this number as well as the revision and date when requesting images, as seen in the bubble above. When requesting images, please follow the image above, numbering from left to right, top to bottom. Document Literature Number, Page and Image Number(s): example: L0603 Rev B Dec 2007 Page 5, Image 2 F1412 Rev A (Ref. ML0502) Page 2 of 3 12/10/07
Proper usage of the BioHorizons logo/media requires compliance with the following conditions and guidelines: GENERAL RESTRICTIONS: The maximum extent of logo/media usage allowed is as per individual agreement. The required length of time must be stated on this form under period of use. If BioHorizons approval to use the logo or media has been given this does not grant any 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 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 under the terms of the consent issued by BioHorizons. The user should not assign, transfer or enable usage of the BioHorizons logo or media to others, without the prior, written consent of BioHorizons. 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 BioHorizons logo or otherwise utilise the logo in a manner intended to link or associate the user or its products or services in any manner with BioHorizons. The user must comply with all applicable laws and regulations, in particular, all laws and regulations pertaining to proper protection, use and designation of trademarks in the UK and any countries in which they intend to use the logo. LOGO SPECIFICS : The user must: (i) not alter or modify the logo in any way; (ii) ensure the logo appears and is printed in its entirety, as supplied, by itself and not combined with any other graphic or textual elements; (iii) ensure the logo is not used as a design element of any other logo or trademark; (iv) not use the BioHorizons logo in any manner that might disparage or injure BioHorizons’ reputation; (v) not use BioHorizons logo in any media that is in violation of any applicable laws or governmental regulations; (vi) ensure that the use of the BioHorizons logo is truthful and not misleading. The user must not use the logo to imply any relationship with, or endorsement or sponsorship by, BioHorizons that is not true. The user must not use the BioHorizons logo in connection with any disparaging or negative statements about BioHorizons or any of BioHorizons activities etc. Media SPECIFICS : The user must: (i) not alter or modify the medias in any way; (ii) ensure the media appears and is printed in its entirety, as supplied, and not combined with any other graphic or textual elements; (iii) not use BioHorizons media in any media that is in violation of any applicable laws or governmental regulations; (iv) ensure that the use of the BioHorizons media is truthful and not misleading. The user must not use the media to imply any procedure that is not true to its intended use. The user must not use the BioHorizons media in connection with any disparaging or negative statements about BioHorizons or any of BioHorizons activities etc. On application, the user agrees and supplies BioHorizons with all locations and forms of their use of the logo/media. User should also be made liable to remedy any deficiencies in logo/media usage, as determined by BioHorizons in its sole discretion, upon notification by BioHorizons and in the manner requested by BioHorizons. INDEMNITY CLAUSE: The user shall be liable for and will indemnify BioHorizons against all liability, loss, damages, costs, professional and other expenses of any nature whatsoever incurred or suffered by BioHorizons, whether direct or consequential arising out of the use by the user of the logo or media, except insofar as any such loss may arise from the negligence of BioHorizons. RESERVATION OF RIGHTS: BioHorizons must reserve the right to terminate, revoke, modify or suspend its approval of logo/media usage and 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. 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 display being forwarded to and approved by BioHorizons. Permission to use the logo or media will only be granted to specific projects, programs, initiatives and the logo or media must not be attached to other projects/programs, initiatives promoted by the same user. If the user completes, terminates or withdraws from the specific activity the logo or media was approved for, then they must immediately cease to use all printed material/stationery containing the BioHorizons logo/media and/or delete the logo/media from their electronic display. I hereby agree to comply with the above terms and conditions: Signed Date Notes •Requests must be submitted on this official form only and must be mailed or faxed to BioHorizons communications for approval. One form per each request, duplicated if needed. •Submitting the request form does not guarantee approval. •Once approval has been authorised the BioHorizons communications team will forward the logo and BioHorizons logo usage guide Please return to Creative Department, BioHorizons, 2300 Riverchase Center, Birmingham, AL 35244 or Fax 205-870-0304 F1412 Rev A (Ref. ML0502) Page 3 of 3 12/10/07
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BioHorizons Logo and Media Request Form

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