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American Heritage Center
University of Wyoming

Mailing Address:
Dept. 3924
1000 E. University Avenue
Laramie, WY 82071
307.766.4114
ahc@uwyo.edu
 

Permission to Publish Form
 


Subject to the following conditions, I/We request permission to reproduce for publication material from the American Heritage Center. List or describe specific items to be reproduced and published, as well as publication information, in the bottom section of this form.

1. Permission is granted for one-time use only. Material may not be re-used without the written permission of the American Heritage Center. The User must complete a separate permissions form for change of use; change in format; sale, transfer, or loan to a different user, publisher, distributor, company, corporation, etc., either in the United States or elsewhere; change in agreed upon distribution; change in location; or any other deviation from the uses designated below.

2. Permission to publish is contingent upon the receipt of this form.

3. The American Heritage Center does not claim to control the rights of reproduction for pictorial materials in its collections. The publishing party assumes all responsibility for clearing production rights and for any infringement of the U.S. Copyright Code.

4. The publisher agrees to send the American Heritage Center a copy of the publication(s) containing the image(s) used. In the case of motion pictures, slideshows, videos, filmstrips, or any other such work, the publisher undertakes to send still photographs or photocopies of the title frame and frame showing picture credits.

5. If non-profit, the User certifies that all funds it collects from fees, charges, royalties or other income from its use of the material obtained from the American Heritage Center shall be used for non-profit purposes.

6. Citations should consist of the following for each image:

a. Photograph negative number (if known)
b. Collection or file name (required)
c. American Heritage Center, University of Wyoming (required)

7. Use fee amount. $ See the AHC Commercial Use Fees for more information.


Order Information

Date of Order:
 
   
Name:
Organization:
   
Address 1:
   
Address 2:
   
City:
State:
Zip:
   
Telephone:

E-mail:
   
Format:      
Periodical Film/Video Web site Other (please specify)
Commercial Display Exhibit Book
   
Name of Author(s): Title:
   
Publisher:
Date of Publication or Display:
   
Number of Copies (if book, video or periodical):
 
   
Images to be Published or Displayed, including collection name (if known):  
1. 2.
   
3. 4.
   
5. 6.
   
7. 8.
   
9. 10.
   


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