Oro Valley Historical Society PERMISSION TO PUBLISH Form

Please complete this form when seeking authorization to use content / item(s) owned by the Oro Valley Historical Society.

General Information

Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Items

Items(Required)

Item Name

Description

How it will be used?

Where it will be used?

Agreement Terms

Content / item(s) is defined as tangible or intangible property. Examples may be, but not limited to, artifacts, items, photographs (physical or digital), copy on the ovhistory.org website, etc.
Content / item(s) is to be used only for the purpose described above and is non-transferable.
Credit for content / item(s) should be clearly displayed with: Property of the Oro Valley Historical Society.

Signature of Requestor(Required)

By my signature below, I accept the foregoing conditions and acknowledge reading the Oro Valley Historical Society Collections Policy.

Date(Required)

TO BE COMPLETED BY AN OVHS REPRESENTATIVE: I hereby acknowledge receipt of this request described above on behalf of the Oro Valley Historical Society, subject to the terms set forth in this request to publish.

In box above include: Printed Name of OVHS Representative, Signature of OVHS Representative, Date, and Decision. (Approved or Declined - If declined, document the reason why.)

Comments

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General Information

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Agreement Terms