Permission to Publish/Use Form

ARCHDIOCESE OF ST.LOUIS ARCHIVES AND RECORDS OFFICE
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Permission To Publish.doc

CONDITIONS FOR PUBLICATION OF MATERIAL
1. Proper credit ("Courtesy of the Archdiocese of St. Louis Archives and Records") must always be given. The person requesting permission to publish is responsible for the credit line.

2. Permission is granted, for one time use only. Reuse or resale is not allowed without specific authorization by the Archdiocese of St. Louis Archives and Records.

3. Permission to publish or otherwise use material is contingent upon completion of this form.

4. All material is retained in the Archdiocese of St. Louis Archives and Records and is not circulated or loaned for publishing purposes.

5. Photographic or digital negatives of the Archdiocese of St. Louis Archives and Records material made at a patron's request are the property of the Archdiocese.

6. The Archdiocese of St. Louis Archives and Records Office does not claim to control the rights of reproduction and distribution for material in its collection. The publishing party assumes responsibility for all infringements of copyright and invasion of privacy.

7. In authorizing publication of any material, the Archdiocese of St. Louis Archives and Records does not surrender its own right to publish or grant others permission to do so.

8. One complimentary copy of the publication will be given to the Archdiocese of St. Louis Archives and Records Office in lieu of a use fee.

9. The Archdiocese of St. Louis Archives and Records reserves the right to change these policies without prior notice.

I have read and understand this agreement.

Name ________________________________________________

Company/Organization___________________________________

Address________________________________________________

City______________________ State_____________ ZIP_________

Phone____________________Fax_______________Email________________________

I decline. _________________________________

Signed_______________________________________________Date_______________

Subject to the conditions listed below, I request permission to publish or otherwise use the following material from the collection of the Archdiocese of St. Louis Archives and Records Office.

(If necessary, attach an additional sheet.)

______________________________________________________________________

______________________________________________________________________

This material will be included in: (If a publication, include title, publisher, and date of publication, anticipated release date.)

______________________________________________________________________

______________________________________________________________________

___________________________________ __________________
Archdiocese of St. Louis Archives and Records Date

___________________________________ __________________
Contractor Date

Return to:

Audrey Newcomer, Director of Archives and Records
Archdiocese of St. Louis
20 Archbishop May Drive
St. Louis, MO 63119-5738