Clipp: The Computer-assisted Learning in Pediatrics Project
www.clippcases.org

PLEASE READ THE INFORMATION FOR SUBSCRIBING INSTITUTIONS AND THE SUBSCRIBER AGREEMENT CAREFULLY BEFORE ACCEPTING THEM OR USING THIS SITE. By clicking on "ACCEPT" or otherwise using this site, you agree to become bound by the terms of this CLIPP Site User Terms and Conditions (this "Terms and Conditions"). If you do not agree to these terms, click "DECLINE" or simply close the registration window.
INFORMATION FOR SUBSCRIBING INSTITUTIONS

Introduction
The Computer-assisted Learning In Pediatrics Program (CLIPP) is a series of 31 Web-based interactive virtual patient cases and related teaching resources that comprehensively teach the clerkship curriculum of the Council on Medical Student Education in Pediatrics (COMSEP).1) CLIPP, primarily developed for use by students during their Pediatrics clerkship, is also appropriate for use by Pediatric and Family Medicine interns and residents, Nurse Practitioner and Physician Assistant students, and others involved in the clinical care of children. CLIPP is currently in use by the majority of U.S. pediatric clerkships. CLIPP was awarded the 2006 AAMC Innovation in Clinical Medical Student Education Award from the Northeast Group on Educational Affairs (NEGEA) and has been selected to receive the 2008 Academic Pediatrics Association Outstanding Teaching Award. 

CLIPP Cases
CLIPP cases integrate knowledge into a clinical scenario and expose learners to clinical reasoning in primary care pediatrics, including newborn, health maintenance, acute and chronic conditions. Each case is designed to take a student learner approximately 45 minutes to complete. The cases feature significant use of multimedia (audio, video and still pictures), directed hyperlinks to high-quality material on the Internet, and Key Teaching Points printable at the end of each case that succinctly summarize the important teaching points within the case.

Additional Teaching Resources
The Instructors' Area of the CLIPP Web site provides Clerkship Directors and their faculty with many additional CLIPP-related teaching resources, including descriptions of content of individual cases, access to certain log data (described below) documenting learners' use of the CLIPP cases, CLIPPnotes teaching resources that may be used to supplement the teaching within the CLIPP cases, and a final exam question bank with 150 NBME-style final exam questions that have been validated at 6 COMSEP medical schools.  CLIPP can serve as a valuable tool to meet the Liaison Committee on Medical Education's (LCME) or the Accreditation Council for Graduate Medical Education's (ACGME) accreditation requirements (see the CLIPP Web site for additional information).

Subscriptions 
CLIPP operates on a subscription model through The Institute for Innovative Technology In Medical Education ("iInTIME"), a 501(c)(3) organization whose mission is to advance medical education through the collaborative development, maintenance and research of innovative and comprehensive computer-based programs.

Institutional Subscribers
Institutional subscriptions are available for U.S. medical schools accredited by the Association of American Medical Colleges (AAMC) and Canadian medical schools accredited by the Association of Faculties of Medicine in Canada (AFMC).  Institutional subscriptions for other institutions involved in medical education will be considered on a case by case basis. 

Institutional Subscriptions - U.S. and Canadian Medical Schools
Institutional subscriptions will be for one year, and will allow all medical students (at a professional level), medical residents and medical school faculty at the institutional subscriber who execute user agreements with iInTIME to access CLIPP during that period subject to the terms of the license agreement with the institution. Institutions will be charged a fee based on the total medical student enrollment, as published by the AAMC and the AFMC. Institutional subscriptions will include the CLIPP cases as well as access to the Instructors' Area for authorized individuals.  Access to the Instructors' Area includes access to certain CLIPP usage log data regarding completion of CLIPP cases, date of completion and total time spent on the case by student users of the institution (but not, for pedagogical reasons, including student responses to questions imbedded in the cases). Only one member at the institutional subscriber will be provided access to the CLIPP final exam question bank. In addition to the pediatrics clerkship, institutions may choose to use CLIPP cases for pre-clinical Doctoring courses, for Family Medicine clerkships, for pediatric or family medicine interns, or for other health care students or professionals.

Institutional Subscriptions - Other than U.S. and Canadian Medical Schools
In general the terms for U.S. and Canadian institutions other than medical schools will be similar to the terms for U.S. and Canadian medical schools except that appropriate restrictions on access and yearly subscription fees shall be determined on a case by case basis.  Terms for non-U.S. and Canadian institutions shall be negotiated separately.

Individual Subscriptions
The cost for individual students registering for CLIPP will be $30 for a 90-day subscription.  Note: Using this method of payment, the individual subscriber, including clerkship and program directors and teaching faculty, will not have access to the Instructors' Area, usage log data or the final exam question bank. 

CLIPP User Agreements
Authorized users at an institutional subscriber and individual subscribers are obliged to accept the CLIPP Site User Terms and Conditions (available by clicking on the "register" link at http://clipp.instruct.de/player/app/homepage.html) prior to using the CLIPP Site.

Site Use Limited to Health-Care Professionals
Use of CLIPP and the CLIPP Cases is limited to individuals actively involved in the study, teaching or practice of medicine or another health-care field, such as nursing or dentistry ("Health Care Professionals").  Subscribers and authorized users will be asked to certify as to their status as Health Care Professionals.

Activating Subscriptions
Subscriptions to CLIPP will be activated after you have accepted the Subscriber Agreement and made full payment for the subscription and, in the case of institutional subscribers, iInTIME has confirmed that the subscriber is an accredited medical school in the U.S. or Canada. You can accept the terms of the Subscriber Agreement either electronically, by having an authorized representative of the Subscriber click the "ACCEPT" button below the Subscriber Agreement, or in writing, by printing the Subscriber Agreement and sending two signed copies thereof to iInTIME.

See the following pages for the Subscriber Agreement.

1) Fall et al. Academic Medicine 80(9):847-855, 2005.

SUBSCRIBER AGREEMENT

PLEASE READ THIS SUBSCRIBER AGREEMENT (THE "AGREEMENT") CAREFULLY.  BEFORE BECOMING A SUBSCRIBER, AN AUTHORIZED REPRESENTATIVE OF YOUR INSTITUTION WILL HAVE TO ACCEPT THIS AGREEMENT BY CLICKING ON THE "ACCEPT" BUTTON BELOW THIS DOCUMENT AFTER SCROLLING THROUGH TO THE END OF THIS AGREEMENT.  PLEASE NOTE THAT IN ACCEPTING THIS AGREEMENT, YOU ARE REPRESENTING AND WARRANTING THAT THE SUBSCRIBER IS AN INSTITUTION ACTIVELY INVOLVED IN THE TEACHING OR PRACTICE OF MEDICINE OR ANOTHER HEALTH CARE SCIENCE (SUCH AS NURSING OR DENTISTRY) AND THAT YOU ARE A DULY AUTHORIZED REPRESENTATIVE OF THE SUBSCRIBER WITH FULL POWER AND AUTHORITY TO ENTER INTO THIS AGREEMENT ON BEHALF OF THE SUBSCRIBER.
If you do not wish to agree to the terms of this Subscriber Agreement, click the "DECLINE" button.

The Institute for Innovative Technology In Medical Education (hereinafter referred to as "iInTIME" or in the first person), a 501(c)(3) organized and existing under the laws of the State of New Hampshire, and the undersigned institutional subscriber (hereinafter referred to as "Subscriber" or in the second person) hereby agree as follows:

1)	GENERAL PURPOSE OF AGREEMENT; ACCESS TO CLIPP THROUGH THE CLIPP SITE.  Subject to the terms of this agreement, iInTIME will make available to your authorized personnel, as described below, the Computer-assisted Learning In Pediatrics Program ("CLIPP"), a series of 31Web-based pediatric case simulations designed to comprehensively teach the core third-year pediatrics curriculum published by the Council on Medical Student Education in Pediatrics.  CLIPP will be made available to your authorized personnel via the World Wide Web at www.clippinstruct.de (that site and/or any successor site and all subsidiary pages, the "CLIPP Site") upon registration by such personnel.

2)	AVAILABILITY OF CLIPP SITE.  iInTime will use diligent efforts to ensure that access to CLIPP via the CLIPP Site is available to Subscriber's authorized personnel, as described herein, at least 20 hours per day, 7 days a week, and, if its servers go down, to get them back and running within 4 hours.  iInTIME is not responsible for the unavailability of CLIPP or the CLIPP Site owing to circumstances beyond our reasonable control, such as fires, storms, floods, earthquakes, terrorism, strikes, lockouts, power failures, or viruses or worms or other operational issues impacting the availability of the Internet and the relevant computer networks more generally.  To protect the system in such events, iInTIME reserves the right to modify or temporarily suspend, or discontinue all or any part of CLIPP and the CLIPP Site. 

3)	CLIPP SUPPORT PERSONNEL; E-MAIL SUPPORT PROVIDED.  The Subscriber shall designate one individual as its "CLIPP Support Personnel" to provide local support to the community of users accessing CLIPP through the Subscriber.  iInTIME will provide e-mail support as described below to the Subscriber's CLIPP Support Personnel and to the Subscriber's Authorized Users, defined below, directly. While iInTIME support personnel cannot be available 24 hours a day, we do try very hard to answer all questions between 9AM and 5PM Eastern time within a few hours, and all questions within 24 hours.   If we don't respond within 24 hours, the CLIPP Support Personnel should assume that we did not get the e-mail and should write to us again at clippsupport@i-intime.org.

4)	PASSWORDS AND LOGIN INFORMATION FOR AUTHORIZED USERS.  Authorized Users of the Subscriber, as defined below, will receive their Login and Password when they register to use the CLIPP Site. Our system will send 2 
e-mails to new users, one with the Login and one with the Password. If the CLIPP Support Personnel or the Authorized User informs us of non-receipt, we'll get the registration information to the student within 24 hours.

5)	USER LOG DATA.  iInTime will provide Subscriber's designated personnel (described below) access to the log data relating to completion of CLIPP cases, date of completion and total time spent on the case by student users of the institution (but not, for pedagogical reasons, including student responses to questions imbedded in the cases). This data will be made available at the Instructors' Area. If you think there is a problem with the data, write to us at clippsupport@i-intime.org and we will review the records and address any problems that arise.

6)	SUBSCRIPTION PERIOD.  CLIPP subscriptions are for one year beginning on July 1 and ending on June 30 (the "Subscription Period").  Your access to CLIPP will not begin until you have accepted the terms of this Subscription Agreement.  You can accept the terms of this Agreement either electronically, by having an authorized representative of the Subscriber click the "ACCEPT" at the Web page exhibiting this document, or in writing, by printing out and sending two signed copies of the Subscriber Agreement to iInTIME.  

7)	LICENSE GRANTED.  In consideration for the payment of your subscription fee, as determined by iInTIME and based on the factors indicated on the CLIPP Site, and your acceptance of the terms and conditions of this agreement, all persons enrolled at or employed by the Subscriber and actively involved in the study, teaching or practice of medicine or another health care field (such as nursing or dentistry) ("Subscriber Medical Personnel") may register at the CLIPP Site to receive access to the CLIPP Site for the Subscription Period.  After registration, the Subscriber Medical Personnel shall be deemed "Authorized Users" of the Subscriber and may access and use the CLIPP Site as permitted in this agreement during the Subscription Period.

8)	PERMITTED USES.  During the Subscription Period, consistent with the CLIPP Site User Terms and Conditions, Authorized Users may use, view and/or download a single copy of the material made available over the non-restricted portions of the CLIPP Site, as permitted at the site, and print materials made available over the CLIPP Site for their own non-commercial personal, educational, clinical or medical research use, or, in the case of faculty or a Clerkship Director, in connection with teaching the relevant materials to students at the Subscriber during the Subscription Period, provided as follows: (i) any printed or downloaded materials include a source reference to all copyright and other proprietary rights notices that are contained in the Site Content; and (ii) Authorized Users do not print more copies of any of the materials than they may reasonably need for their permitted uses during the Subscription Period. 

9)	RESTRICTED AREAS.  The CLIPP Site contains the following restricted areas ("Restricted Areas"): (i) the "Instructors' Area," access to which area is limited to a maximum of 5 members of the faculty of the Subscriber as described below; (ii) the "Final Exam Question Bank," access to which is limited to 1 Authorized User (the "FEQ Authorized User")selected by Subscriber as described below; and (iii) developer/host areas, access to which is strictly limited to iInTIME and CLIPP Site host personnel.  

Upon registration and subject to the terms of this agreement, the FEQ 
Authorized User will have access to the Final Exam Question Bank consistent
with the CLIPP Final Exam Questions User Terms and Conditions and the 
Instructors' Area in addition to the unrestricted areas of the CLIPP Site.  The FEQ
 Authorized User may designate up to 5 additional faculty members as 
"Designated Teaching Faculty" by notifying iInTIME of their names and e-mail
 addresses.  Upon registration, the Designated Teaching Faculty shall have access
to the Instructors' Area as well as the non-restricted areas of the
CLIPP Site.

10)	USE OF THE INSTRUCTORS' AREA.  The FEQ Authorized User and the Designated Teaching Faculty may use the Instructors' Area in connection with the pedagogical use of CLIPP by their institutions during the Subscription Period.  In no case shall third parties, including students or other Authorized Users, be given access to the Instructors' Area or the teaching materials available there.  In addition, the Subscriber shall treat the log usage data of its Authorized Users with the same level of confidentiality with which it treats other information relating to the academic performance of its students.   DO NOT PROVIDE STUDENTS ACCESS TO THE RESTRICTED AREAS.

11)	USE OF FINAL EXAM QUESTION BANK.  The FEQ Authorized User may access the Final Exam Question Bank and print copies of the exams and questions subject to the conditions below.  In no case shall any third party, including any students or other Authorized Users, be given access to the Final Exam Question Bank or the passwords or logins of the FEQ Authorized User.  In no case shall any copies of the exams or exam questions available at the Final Exam Question Bank be used or distributed by the Subscriber or its FEQ Authorized User except as follows: (i) copies of exams or exam questions shall be distributed in print form only and with iInTIME's copyright notice and in settings that allow the collection of the questions after the exam; (ii) each exam including materials from the Final Exam Question Bank shall be numbered and collected after the exam; (iii) no one shall be permitted to make copies of these exams; and (iv) copies of these exams shall be kept in a secure area with limited access.  Subscriber understands and agrees that a great many people worked for a great many hours to create the exam questions. Subscriber agrees to ensure that only the FEQ Authorized User named by the Subscriber access the Final Exam Question Bank and that they use the questions only under conditions reasonably designed to prevent the distribution of the questions among students and faculty.

12)	SUSPECTED UNAUTHORIZED USE OF RESTRICTED AREAS; CHANGE OF FEQ AUTHORIZED USER OR DESIGNATED TEACHING FACULTY; CHANGE OF STATUS OF AUTHORIZED USERS.  In the event that Subscriber suspects that any other individual has gained access to the Instructors' Area, it will notify iInTIME promptly in order to allow iInTIME to take remedial steps. In the case of any change, departure or incapacitation of the FEQ Authorized User or any Designated Teaching Faculty during the course of the Subscription Period, Subscriber shall promptly notify iInTIME of such change, and iInTIME shall promptly terminate the access or the enhanced access of such individuals as applicable and provide access to their designated replacements, if any.  In addition, Subscriber shall promptly notify iInTIME to the extent that any other Authorized Users terminate or change their affiliation with the Subscriber in such a manner that such individuals no longer qualify as Subscriber Medical Personnel.

13)	PROHIBITED USES.  Except as expressly permitted by this Agreement or the CLIPP Site User Terms and Conditions and the CLIPP Final Exam Questions User Terms and Conditions, Subscriber recognizes and agrees that any copying, distribution or modification of the CLIPP Site or the Site Content is strictly prohibited.  In addition, neither Subscriber nor its Authorized Users shall do any of the following: 
1.	Copy any part of CLIPP, the CLIPP Site or their content, including, without limitation, text, graphics, images, information, software and other materials (the "Content") for resale or other commercial use;
2.	Access any Restricted Areas without authorization or permit unauthorized users to do so;
3.	Use the Instructors' Area or the Final Exam Question Bank other than as permitted as stated above;
4.	Post any part of the CLIPP Site or the Site Content on any public bulletin boards, Web sites, Internet domains, or online chat rooms;
5.	Sublicense, assign, share, sell, rent, lease, or otherwise transfer your right to use the CLIPP Site or any Site Content except as permitted below;
6.	Reverse engineer any part of the CLIPP Site or the Site Content or include it in any other software or multimedia package for any public use;
7.	Use the CLIPP Site for any purpose in violation of local, state, national, or international laws; 
8.	Remove copyright notices on any Site Content downloaded from the CLIPP Site;
9.	Post or upload material to the CLIPP Site that infringes on the intellectual property rights of others or on the privacy or publicity rights of others or that is unlawful, obscene, defamatory, threatening, harassing, abusive, slanderous, hateful, or embarrassing to any other person or entity; 
10.	Post or upload any spam, advertisements, solicitations of business, chain letters or pyramid schemes;
11.	Impersonate or log in as any other person; 
12.	Allow any other person or entity to use another's password or identification for using, viewing or uploading material to the CLIPP Site;
13.	Distribute or upload viruses, worms, Trojan horses, spy ware or other harmful or disabling computer code to or through the CLIPP Site; or
14.	Bypass or attempt to bypass or disable any security features of the Site, including, without limitation, those controlling downloading and printing material or Content from the Site.
Subscriber shall actively cooperate with iInTIME to ensure that these prohibited uses are not undertaken by any of its Authorized Users, and, consistent with Subscriber's confidentiality obligations and policies, to identify persons at the Subscriber that may be engaging in these uses.

14)	TERMINATION OF LICENSE/SUBSCRIPTION.  At the end of the Subscription Period, the right of the Subscriber and all Authorized Users and/or Subscriber Medical Personnel to use CLIPP or access the CLIPP Site (other than the public portions thereof, if any), or to use or duplicate CLIPP or any of the content of CLIPP or the CLIPP Site will terminate.  Any Authorized Users who cease, for any reason, to be Subscriber Medical Personnel during the course of the Subscription Period shall cease upon such change in status to be Authorized Users of CLIPP and the CLIPP Site, and iInTIME may immediately revoke their registration.  Subscriber may terminate this agreement at any time by providing iInTIME with ninety (90) days' written notice to iInTIME, DRTC Suite 2F, 16 Cavendish Court, Lebanon NH 03766, in which case the right for all Subscriber Medical Personnel and Authorized Users to use CLIPP and the CLIPP Site, as described above, will terminate at the end of the notice period. In the event that you choose to terminate the subscription, we will provide a prorated refund of the annual subscription fee for the unexpired portion of the subscription term.  Except as set forth in this Section, your Subscription Fee is not refundable.  Sections 15, 16, 18, 19, 21, 22, 23 and 24 will survive any termination of this Agreement.

15)	OWNERSHIP; CHANGES TO CONTENT.  As indicated above, CLIPP, the CLIPP Site and the Contents (together, the "CLIPP Materials") are and remain the copyrighted materials of iInTIME and/or its licensors and may not be reproduced without the written consent of the copyright holder.  In no event shall Subscriber remove any copyright notices from the CLIPP Materials.  In no event shall Subscriber permit electronic access to any CLIPP Materials other than by Authorized Users through the CLIPP Site.   Any use of the CLIPP Materials not expressly permitted by this agreement is a breach hereof and may violate copyright, trademark, and other laws. Content and features of CLIPP and the CLIPP Site are subject to change or termination without notice in the editorial discretion of iInTIME. All rights not expressly granted herein are reserved to iInTIME and its licensors.

16)	CLIPP SITE USER TERMS AND CONDITIONS.  Subscriber acknowledges and agrees that, as part of the registration process, all Subscriber Medical Personnel, including FEQ Authorized User and Designated Teaching Faculty, shall be required to accept iInTIME's "CLIPP Site User Terms and Conditions" prior to becoming Authorized Users and being permitted access to CLIPP and the CLIPP Site.  iInTime reserves the right to modify these "CLIPP Site User Terms and Conditions" at any time.  Any modifications shall be posted on the CLIPP Site, and continued use after such posting shall constitute acceptance of the modification. 

17)	EDUCATIONAL USE ONLY; NOT INTENDED FOR CLINICAL DECISION-MAKING.  CLIPP and the materials on the CLIPP Site are provided for educational purposes only.  All CLIPP cases are fictitious examples created for teaching purposes.  CLIPP is not intended for use in actual clinical decision-making, and in no case should be substituted for the advice of a qualified health care professional. Treatment portrayed as correct in a CLIPP case may not be the correct treatment for a similar patient.  While we make every attempt to keep the content of CLIPP current, the cases cannot always reflect every change or nuance in medical practice.

18)	DISCLAIMER OF WARRANTIES.  NEITHER IINTIME NOR ANY OTHER PARTY MAKES ANY WARRANTY OR REPRESENTATION, EXPRESSED OR IMPLIED, WITH RESPECT TO THE LICENSED MATERIALS, WHICH ARE LICENSED "AS IS" OTHER THAN AS EXPRESSLY STATED HEREIN.  TO THE FULLEST EXTENT PERMISSIBLE BY LAW, ALL OTHER WARRANTIES ARE EXPRESSLY EXCLUDED AND DISCLAIMED, INCLUDING WITHOUT LIMITATION IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND ANY WARRANTIES ARISING BY STATUTE OR OTHERWISE IN LAW OR FROM COURSE OF DEALING, COURSE OF PERFORMANCE, OR USE OF TRADE. ANY STATEMENTS OR REPRESENTATIONS MADE BY ANY OTHER PERSON OR ENTITY ARE VOID. YOU ASSUME ALL RISK AS TO THE QUALITY, FUNCTION, PERFORMANCE, AND ACCURACY OF THE SITE AND THE LICENSED MATERIALS.

19)	LIMITATION OF LIABILITY.  TO THE EXTENT PERMITTED BY LAW, IN NO EVENT WILL IINTIME OR ANY OTHER PARTY WHO HAS BEEN INVOLVED IN THE CREATION, PRODUCTION, PROMOTION OR MARKETING OF THE CLIPP SITE OR THE CONTENT BE LIABLE TO YOU OR ANY OTHER PARTY FOR ANY SPECIAL, INDIRECT, INCIDENTAL, RELIANCE, EXEMPLARY, OR CONSEQUENTIAL DAMAGES, INCLUDING FOR LOSS OF DATA OR PROFITS, OR DAMAGES FOR PERSONAL INJURY OR WRONGFUL DEATH, RESULTING FROM OR CONNECTED WITH ANY USE, MISUSE OR INABILITY TO USE CLIPP, THE CLIPP SITE OR THE CONTENT, WHETHER BASED ON WARRANTY, CONTRACT, TORT, OR ANY OTHER LEGAL THEORY, EVEN IF IINTIME OR SUCH OTHER PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. IN NO EVENT SHALL IINTIME OR SUCH OTHER PARTY'S LIABILITY FOR ANY DAMAGES OR LOSS TO YOU OR ANY OTHER PARTY EXCEED THE SUBSCRIPTION FEE PAID BY YOU FOR ACCESS TO AND USE OF THE CLIPP SITE AND THE CONTENT. 

20)	LINKS TO OTHER SITES.  While we carefully review all of the sites that we link to, we cannot control the content of other Web sites.  Links or references to other Web sites do not imply an endorsement of any kind unless specifically stated.

21)	NO TRANSFER; ASSIGNMENT.  Except as otherwise permitted by law, you may not transfer, assign or delegate this Agreement, or any of the rights or obligations hereunder, or transfer any CLIPP Materials, to any third party without the prior written permission of iInTIME.

22)	AUTHORITY TO CONTRACT.  The Subscriber represents and warrants that (i) it is an institution actively involved in the teaching or practice of medicine or another health care science (such as nursing or dentistry) ; (ii) that Subscriber is accredited by the Association of American Medical Colleges (U.S. medical schools) or by the Association of Faculties of Medicine in Canada; and  (iii) that the Agreement has been duly authorized and executed on behalf of the Subscriber.

23)	MODIFICATION AND WAIVER; SEVERABILITY.  The agreement may only be modified in writing signed by both of the parties.  A waiver by a party of any right hereunder shall not constitute a waiver of that or any other right in the future.  If any provision of this agreement is determined to be invalid or unenforceable under any applicable law, it shall be deemed omitted and the remaining provisions shall continue in full force and effect.

24)	COMPLETE AGREEMENT.  This agreement constitutes the entire agreement between you and iInTIME with respect to the subject matter hereof and supersedes with respect thereto any prior written agreements or prior, contemporaneous or subsequent oral understanding.
INFORMATION FOR SUBSCRIBING INSTITUTIONS and SUBSCRIBER AGREEMENT (for printing)
Please fill out the following form: * indicates required field.
Institution: *
Institution Address 1:
Institution Address 2:
City:	State/Province: ZIP Code:
Telephone:	Fax:
Authorized User Email Domain(s), i.e. @college.edu: *
Note: Duly Authorized Representative must have the authority to accept the agreement on behalf of the Institution.
Name of Duly Authorized Representative: *
Title of Duly Authorized Representative: *
Email of Duly Authorized Representative: *
Name of Designated CLIPP Support Personnel: *
Email of Designated CLIPP Support Personnel: *

Name of Final Exam Questions Authorized Representative: *
Title of Final Exam Questions Authorized Representative:
Email of Final Exam Questions Authorized Representative: *
Designated Teaching Faculty:
1. Name:
Email:
2. Name:
Email:
3. Name:
Email:
4. Name:
Email:
5. Name:
Email:
Billing Contact Information:
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In accepting this Agreement on behalf of the Subscriber, you are representing on behalf of yourself and the Subscriber that you are a duly authorized representative of the Subscriber with full power and authority to enter into this Agreement on its behalf. *
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Clipp: The Computer-assisted Learning in Pediatrics Project www.clippcases.org

Clipp: The Computer-assisted Learning in Pediatrics Project
www.clippcases.org
