With certain exceptions for academic or personal use, U.S. copyright law prohibits the use of copyrighted material without the owner’s specific consent.
The enclosed document lets an owner permit the reproduction of its images. You can provide detailed information about how the images may be used and the extent of their incorporation into the secondary publication. The copyright holder can be assured of its continuing ownership rights, and the requestor will gain rights to material it needs to move forward with publication.
PERMISSION TO REPRODUCE IMAGE(S) Date: __________________________ _____________________ (the “Owner”) has received the request of ____________________ (the “Requestor”), in a letter dated _____________________, _____, to reproduce the Image(s) (as defined below). The Owner hereby grants the request on the following terms and conditions, which terms and conditions Requestor hereby accepts: (1) The images described below (the “Image(s)”) are the subject of this agreement (the “Agreement”): Artist: Title: Date: Medium: Dimensions: The Owner is the copyright holder of the Image(s). (2) [The Requestor has already obtained a reproducible copy of the Image(s)] or [The Owner shall provide a [color print][black and white print][color transparency][35 mm slide][electronic version] of the Image(s) from which the Requestor can produce the Image(s) for the purposes described below.] (3) The Image(s) will be used as follows: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _______________________________________________________________. (4) The Image(s) [will not be used in a seminar or other educational activity] [will be used in a seminar or other educational activity as follows: __________________________________________________________________ __________________________________________________________________ _______________________________________________________________.] (5) In consideration for the grant of the Owner’s permission to reproduce the Image(s), the Requestor agrees to pay a one time fee of $__________________ (the “Fee”). The permissions granted under this Agreement shall be ineffective until the Fee is paid in full. (6) This Agreement provides non-exclusive [worldwide] English
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