SPECIAL COLLECTIONS
OUACHITA BAPTIST UNIVERSITY
RILEY-HICKINGBOTHAM LIBRARY
OBU BOX 3742
ARKADELPHIA, ARKANSAS 71998
870/245-5332
PERMISSION TO PUBLISH CONTRACT-PHOTOGRAPHS
I/we request permission to reproduce the following image(s) from Special Collections, Ouachita Baptist University, Arkadelphia, Arkansas, 71998
CONDITIONS
b) In the case of motion picture films, filmstrips, and slideshows, the publisher agrees to send still photographs or photocopies of the title frame and the frame showing picture credits.
c) In the case of web sites or CDs, the publisher agrees to send images of the page(s) showing the picture and credit line.
PHOTOGRAPHS USED:________________________________________________________________________________________________________________________________
REPRODUCTION RIGHTS AGREEMENT
The undersigned hereby
agrees that any and all reproductions of works owned by the Special Collections,
Ouachita Baptist University, will be reproduced only in the manner described
above and in accordance with the regulations described in this agreement:
Signature and Title _____________________________________________________
Date __________________________________________
Title of proposed publication:
__________________________________________________________________
Author/Producer: _____________________________________________________
Expected date of publication/release:________________________________________
Address: ___________________________________________________________
_________________________________________________________________
Telephone: _____________________________________
This use
is: ___ Commercial ___ Non Profit ___ Educational (Check one)
The result will be: ___ Periodical ___ Book ___ Textbook ___
Film/Video ___
Web site/CD ___ Other (Check one)
Distribution rights desired (one time, one language only):
_____ North American rights _____ World rights Language: __________________
Other use: ___________________________________________________________
|
APPROVED: ______________________________________________________ DATE: _________________________________________________ |