FOR REVIEW ONLY

Please contact staff to determine the correct permission before submission: 202-727-1213

Washingtoniana Division, DC Public Library Permission to Publish

The Washingtoniana Division has collected images from a variety of private and public sources. Reproduction from our collections is provided as a service to our patrons. The DC Public Library (DCPL) does not have reproduction rights for much of this material although many are in the public domain. When appropriate, it is your responsibility to determine copyright and obtain permission to reproduce. By signing this agreement, you assume full responsibility for any infringement of copyright. I understand that permission is granted for one-time use of images in the project listed below, with non-exclusive world-wide rights for this and all subsequent editions, revisions, and derivative works, in English and in foreign translations, in all formats, including CD-ROM and electronic media for an indefinite period. Photographic materials may not be reused in another project without written permission of DCPL. The DC Public Library grants permission for one-time use of the images listed in Photo Order ____for: 1.Project Title: 2.:Release Date: 3. Publisher: I agree to display the following credit line with the images: Courtesy DC Public Library, Washingtoniana Division I also agree to provide the Washingtoniana Division with one copy of any publication, broadcast or film in which the photographs appear. By signing this statement, I assume full responsibility for any infringement of the above conditions. I also agree to pay for negatives if I order prints of the requested images. Signed _______________________________________ Date Type or Print Name: Affiliation( if any) Address:

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