Request for publications permissions

Request for publications permissions

This application is required to receive permission to publish, broadcast or exhibit images or materials from the collection in any format.

By signing this application the applicant agrees to abide by and adhere to all terms, conditions and provisions of this agreement. If you have questions ask before signing.

I agree to only use Archival materials in the manner set forth below. I understand that if I use the materials in an unapproved manner I am subject to additional fees and possible legal action. I agree to include the following permissions statement with all materials.

PERMISSIONS STATEMENT:

Photograph/document courtesy of the University Archives, Carnegie-Vincent Library of Lincoln Memorial University, Harrogate, Tennessee.

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Name of applicant

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Institution, organization, or agency

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Address                                                                                              City, State, Zip Code

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Telephone

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Email address

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Intended Use

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Applicant Signature                                                                                      Date

 
 
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