Notification and Agreement for Use of Oregon State University
Ken Gray Insect Images Downloadable from the Web
Through submission of this form I am providing notice of my intent to publish or use in facsimile reproduction the
following web-downloadable images from the Oregon State University Ken Gray Insect Image Collection (please list
image name and number):
Intended use of materials:
Through submission of this form, I agree to the following:
1. Oregon State University hereby grants me one time use to publish or use in facsimile reproduction the
images identified above.
2. In authorizing the publication or use of these materials OSU does not surrender its own right to publish or to
grant permission to others to do so.
3. This authorization does not grant license to make any of the above described images part of any other
institution or organization's archives, photographic collection or special collection.
4. This authorization by OSU does not remove the author's and publisher's responsibility to guard against the
infringement of rights that may be held by others.
5. Each reproduction must carry the following credit line:
Ken Gray Image Courtesy of Oregon State University
Email completed form to Russell.email@example.com.