Guest/Interview Release & Authorization Form

I hereby grant to InteliPort, Inc. its subsidiaries, services, affiliates, agents, successors, and
assigns the right and permission to record, use, publish, stream live, offer for sale, or otherwise
distribute any audio or video interview with me. Such right and permission includes, but is not
limited to, my name, recorded voice or video, photograph or likeness, biographical information,
handouts or any material based upon or derived therefrom.

I understand that InteliPort, Inc. may, at its sole discretion, produce presentations or
publications based in whole or in part upon audio interview (or any portions thereof) and/or a
video or audio recordings or photographs of said interview, and that such media or transcripts
may appear in print, online, or in any manner or media, including but not limited to promoting
the podcast or streaming audio program.

I have no right of approval, no claim for compensation, and no claim (including, without
limitation, claims based upon invasion of privacy, defamation, or right of publicity) arising out
of or in connection with, any use, alteration, or use in any composite form hereunder.

I hereby warrant and represent that I have the right to enter into this agreement and to grant the
rights granted to InteliPort, Inc. herein. I agree that during the course of the
interview I have not violated the rights of any third parties, including but not limited to
copyrights, rights of privacy, trade secrets, and non-disclosure agreements, and that in the event
of any breach of any of these warranties, that I will defend and hold InteliPort, Inc.
harmless against any such claims.

This release shall be binding upon me and my heirs, legal representatives, and assigns.

Agreed and authorized by: adding your name and email above and by clicking the below.