CFO IQ Video Interview Series

I'd / we'd like to appear in a CFO IQ video interview

Yes

Preferred interview topic(s) or suggestions*

10 questions you'd like us to ask during your CFO IQ Video Interview (Please be specific and include ten)

Company*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Website*

Company type*

Year company was founded

Annual revenue

Up to $500 million$501 million to $1 billion$1.1 billion to $5 billionGreater than $5 billion

Number of employees

Number of customers

Number of interviewees

OneTwoThree

Type a question

Interviewee #1: Salutation*

Interviewee #1: Name*

First NameLast Name

Interviewee #1: Title*

Input "Individual", if in-transition

Interviewee #1: Email*

example@example.com

Interviewee #1: Mobile phone*

Interview #1: For how many years have you been a CFO or other executive?*

Interviewee #1: For approximately how many years have you been in your current role?*

Interviewee #1: At which other companies have you served in similar roles?*

Interviewee #1: Recent successful initiatives*

Interviewee #1: LinkedIn profile*

Interviewee #1: Links to other video or audio interviews or business articles

Interviewee #1: Bio or other file upload

Interviewee #1: Books you've read, are reading, or plan to read

Interviewee #1: Conferences you've attended, organizations in which you participate

Additional Info

Interviewee #1: Email me info about CFO IQ, CFO Intelligence, and related matters, and email me CFO Intelligence magazine at no cost to me

Yes

Assignment and Release

I / we hereby assign to CFO Intelligence LLC any and all right, title, interest and copyright in and to any and all content to be published in video, audio, digital and / or print versions of CFO Intelligence magazine and / or other publications of CFO Intelligence and / or audio and video content for CFO IQ podcasts (the “Content”), subject to our reasonable approval of same, in any and all form or format currently existing or existing in the future, whether the Content consists of any or all of the following: words or text, images (whether motion or still images, photographic or digital portraits or pictures of me or in which I / we may be included), audio, video, any recordings of my name, voice, performance, actions, image, likeness or biographical information about me, as well as, any idea or materials provided by me, and any text or dialogue by or from me, in whole or in part. I / we consent to the use of our company name and logo for the above purposes.

By way of this Assignment and Release, I / we hereby grant CFO Intelligence LLC the exclusive, unlimited, royalty-free, perpetual and irrevocable right to use, re-use, publish, republish, distribute, license, copyright, sublicense, assign, augment or modify with any reasonable retouching or alteration, or display, the Images and Content (as applicable) in any media, methods of distribution, methods of communication and in other technologies (whether in print, electronic or digital, or otherwise), now known or hereafter devised, throughout the universe, for any and all purposes CFO Intelligence LLC deems appropriate including, without limitation, for commercial, promotional, and publicity purposes. I / we hereby waive any right that I / we may have to inspect or approve CFO Intelligence LLC’s use of any Images or Content (as applicable), or any printed or digital matter that may be used in connection therewith. I / we also waive any moral rights or rights of attribution unless otherwise agreed to in writing between me and CFO Intelligence LLC.

To the fullest extent allowed by law, for myself and on behalf of my heirs, executors, agents, successors or assigns, hereby release, hold harmless and indemnify (solely to the extent you were not permitted or lacked the authority to grant any rights granted herein to CFO Intelligence LLC) CFO Intelligence LLC from any and all claims and demands arising out of or in connection with such use including, without limitation, any and all claims for invasion of privacy, infringement of my right of publicity, defamation (including libel and slander), and any other personal and/or other property rights, and I / we agree that I / we shall not now or in the future assert or maintain any such claim against CFO Intelligence LLC, its officers, directors, employees, or contractors; provided, however, that CFO Intelligence LLC may not use the Images or Content (a) in association with any material that is pornographic, obscene or defamatory, (b) in such a manner as to portray me in a false light, or (c) in a manner that disparages me.

I / we agree that no sum shall be due to me / us or to any third party, including any guild or union, regardless of the time or method of any future use of the rights granted herein.

Any and all disputes concerning or related in any way to this Assignment Release or the rights or obligations hereunder, shall be resolved exclusively in the State or Federal Courts located within the State of New Jersey, and shall be governed exclusively in accordance with the law of the State of New Jersey or the United States, as the case may be.

I / we have read this Assignment and Release carefully and fully understand its meanings and implications. I am / we are authorized to sign this Assignment and Release either on behalf of myself, my / our company, or my / our client.

Assignment and Release Authorized Signature

Interviewee #2: Salutation*

Interviewee #2: Name*

First NameLast Name

Interviewee #2: Title*

Input "Individual", if in-transition

Interviewee #2: Email*

example@example.com

Interviewee #2: Mobile phone*

Interviewee #2: For how many years have you been a CFO or other executive?*

Interviewee #2: For approximately how many years have you been in your current role?*

Interviewee #2: At which other companies have you served in similar roles?*

Interviewee #2: Recent successful initiatives*

Interviewee #2: LinkedIn profile*

Interviewee #2: Links to other video or audio interviews or business articles

Interviewee #2: Bio or other file upload

Interviewee #2: Books you've read, are reading, or plan to read

Interviewee #2: Conferences you've attended, organizations in which you participate

Additional Info

Interviewee #2: Email me info about CFO IQ, CFO Intelligence, and related matters, and email me CFO Intelligence magazine at no cost to me

Yes

Assignment and Release

I / we hereby assign to CFO Intelligence LLC any and all right, title, interest and copyright in and to any and all content to be published in video, audio, digital and / or print versions of CFO Intelligence magazine and / or other publications of CFO Intelligence and / or audio and video content for CFO IQ podcasts (the “Content”), subject to our reasonable approval of same, in any and all form or format currently existing or existing in the future, whether the Content consists of any or all of the following: words or text, images (whether motion or still images, photographic or digital portraits or pictures of me or in which I / we may be included), audio, video, any recordings of my name, voice, performance, actions, image, likeness or biographical information about me, as well as, any idea or materials provided by me, and any text or dialogue by or from me, in whole or in part. I / we consent to the use of our company name and logo for the above purposes.

By way of this Assignment and Release, I / we hereby grant CFO Intelligence LLC the exclusive, unlimited, royalty-free, perpetual and irrevocable right to use, re-use, publish, republish, distribute, license, copyright, sublicense, assign, augment or modify with any reasonable retouching or alteration, or display, the Images and Content (as applicable) in any media, methods of distribution, methods of communication and in other technologies (whether in print, electronic or digital, or otherwise), now known or hereafter devised, throughout the universe, for any and all purposes CFO Intelligence LLC deems appropriate including, without limitation, for commercial, promotional, and publicity purposes. I / we hereby waive any right that I / we may have to inspect or approve CFO Intelligence LLC’s use of any Images or Content (as applicable), or any printed or digital matter that may be used in connection therewith. I / we also waive any moral rights or rights of attribution unless otherwise agreed to in writing between me and CFO Intelligence LLC.

To the fullest extent allowed by law, for myself and on behalf of my heirs, executors, agents, successors or assigns, hereby release, hold harmless and indemnify (solely to the extent you were not permitted or lacked the authority to grant any rights granted herein to CFO Intelligence LLC) CFO Intelligence LLC from any and all claims and demands arising out of or in connection with such use including, without limitation, any and all claims for invasion of privacy, infringement of my right of publicity, defamation (including libel and slander), and any other personal and/or other property rights, and I / we agree that I / we shall not now or in the future assert or maintain any such claim against CFO Intelligence LLC, its officers, directors, employees, or contractors; provided, however, that CFO Intelligence LLC may not use the Images or Content (a) in association with any material that is pornographic, obscene or defamatory, (b) in such a manner as to portray me in a false light, or (c) in a manner that disparages me.

I / we agree that no sum shall be due to me / us or to any third party, including any guild or union, regardless of the time or method of any future use of the rights granted herein.

Any and all disputes concerning or related in any way to this Assignment Release or the rights or obligations hereunder, shall be resolved exclusively in the State or Federal Courts located within the State of New Jersey, and shall be governed exclusively in accordance with the law of the State of New Jersey or the United States, as the case may be.

I / we have read this Assignment and Release carefully and fully understand its meanings and implications. I am / we are authorized to sign this Assignment and Release either on behalf of myself, my / our company, or my / our client.

Assignment and Release Authorized Signature

Interviewee #3: Salutation*

Interviewee #3: Name*

First NameLast Name

Interviewee #3: Title*

Input "Individual", if in-transition

Interviewee #3: Email*

example@example.com

Interviewee #3: Mobile phone*

Interviewee #3: For how many years have you been a CFO or other executive?*

Interviewee #3: For approximately how many years have you been in your current role?*

Interviewee #3: At which other companies have you served in similar roles?*

Interviewee #3: Recent successful initiatives*

Interviewee #3: LinkedIn profile*

Interviewee #3: Links to other video or audio interviews or business articles

Interviewee #3: Bio or other file upload

Interviewee #3: Books you've read, are reading, or plan to read

Interviewee #3: Conferences you've attended, organizations in which you participate

Additional info

Interviewee #3: Email me info about CFO IQ, CFO Intelligence, and related matters, and email me CFO Intelligence magazine at no cost to me

Yes

Assignment and Release

I / we hereby assign to CFO Intelligence LLC any and all right, title, interest and copyright in and to any and all content to be published in video, audio, digital and / or print versions of CFO Intelligence magazine and / or other publications of CFO Intelligence and / or audio and video content for CFO IQ podcasts (the “Content”), subject to our reasonable approval of same, in any and all form or format currently existing or existing in the future, whether the Content consists of any or all of the following: words or text, images (whether motion or still images, photographic or digital portraits or pictures of me or in which I / we may be included), audio, video, any recordings of my name, voice, performance, actions, image, likeness or biographical information about me, as well as, any idea or materials provided by me, and any text or dialogue by or from me, in whole or in part. I / we consent to the use of our company name and logo for the above purposes.

By way of this Assignment and Release, I / we hereby grant CFO Intelligence LLC the exclusive, unlimited, royalty-free, perpetual and irrevocable right to use, re-use, publish, republish, distribute, license, copyright, sublicense, assign, augment or modify with any reasonable retouching or alteration, or display, the Images and Content (as applicable) in any media, methods of distribution, methods of communication and in other technologies (whether in print, electronic or digital, or otherwise), now known or hereafter devised, throughout the universe, for any and all purposes CFO Intelligence LLC deems appropriate including, without limitation, for commercial, promotional, and publicity purposes. I / we hereby waive any right that I / we may have to inspect or approve CFO Intelligence LLC’s use of any Images or Content (as applicable), or any printed or digital matter that may be used in connection therewith. I / we also waive any moral rights or rights of attribution unless otherwise agreed to in writing between me and CFO Intelligence LLC.

To the fullest extent allowed by law, for myself and on behalf of my heirs, executors, agents, successors or assigns, hereby release, hold harmless and indemnify (solely to the extent you were not permitted or lacked the authority to grant any rights granted herein to CFO Intelligence LLC) CFO Intelligence LLC from any and all claims and demands arising out of or in connection with such use including, without limitation, any and all claims for invasion of privacy, infringement of my right of publicity, defamation (including libel and slander), and any other personal and/or other property rights, and I / we agree that I / we shall not now or in the future assert or maintain any such claim against CFO Intelligence LLC, its officers, directors, employees, or contractors; provided, however, that CFO Intelligence LLC may not use the Images or Content (a) in association with any material that is pornographic, obscene or defamatory, (b) in such a manner as to portray me in a false light, or (c) in a manner that disparages me.

I / we agree that no sum shall be due to me / us or to any third party, including any guild or union, regardless of the time or method of any future use of the rights granted herein.

Any and all disputes concerning or related in any way to this Assignment Release or the rights or obligations hereunder, shall be resolved exclusively in the State or Federal Courts located within the State of New Jersey, and shall be governed exclusively in accordance with the law of the State of New Jersey or the United States, as the case may be.

I / we have read this Assignment and Release carefully and fully understand its meanings and implications. I am / we are authorized to sign this Assignment and Release either on behalf of myself, my / our company, or my / our client.

Assignment and Release Authorized Signature

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