Unpublished Photo/Illustration Permission Form


The University of Arizona Press
P. O. Box 210055
Tucson, AZ 85721-0055



 

To: __________________________

The University of Arizona Press (hereafter the Press) is pleased to have the privilege of making use of your photographs in accordance with the terms of the following agreement:

The Press shall have the nonexclusive right to use your photograph(s) as identified on the second page of this agreement in the following work that is now being prepared for publication:

Title:                                                                                                      Volume Author/Editor:
Proposed © year:                                                                           
Remarks:

You grant the Press nonexclusive world rights to reproduce the photograph(s)/map(s)/illustration(s) in ____________________________ (UAP title) in all languages in this and any alternative editions of this volume published by the University of Arizona Press, and in related advertising.

You will retain ownership and copyright of your work and all other rights not specified herein.

This agreement is executed as of the date of signature, below.

You represent and warrant that you are the sole owner of all rights in and to the photograph(s) and that the photographs are original and do not infringe upon any statutory copyright or any common law right or proprietary right of any individual or organization.

Please confirm that the foregoing accurately and completely sets forth our agreement by signing and returning the copy hereof.

Thank you very much for your attention to this request.

Sincerely,
AUTHOR
YOUR ADDRESS AND EMAIL

Permission is granted as requested above.

 

_________________________           ____________________________          ____________
Signature                                              (Please print your name here)                   Date

Address: _______________________________________________________

 

____________________________________________________________________________
Preferred credit line to acknowledge your work