[Request and Agreement for Non-Commercial Media Use]

dbhutton — Fri, 19 Jun 2015 16:05:11 +0000

Diane B. Hutton Friday, 6/19/2015, at 12:05 PM

Note: The Beneski Museum does not maintain an image library. Images for publication must be obtained by the publishing author. Permission must be obtained before any image or other media may be published (including on websites). Please read this agreement carefully before filling out the form, below.

I acknowledge and understand that I have been granted permission by the Beneski Museum of Natural History at Amherst College ("the Museum") to make limited use of certain digital or print images (owned by the Museum or made by me with the Museum's permission) of objects and/or items in the possession of the Museum, subject to the terms and conditions of this agreement. Specifically, I agree to use the images of the items or objects specified in the "Subject(s)" section below only for the non-commercial, educational use(s) (e.g. publication of the image in a scientific journal article), listed in the "Permitted Purposes" section below. I further agree that I will make no other use of the image(s) and will not receive any financial compensation or other consideration for permitting the image to be obtained, copied or published by others. In the case where I provide a copy of an image to another (e.g. to a journal publisher) for the Permitted Purposes specified here, I will ensure the recipient agrees to make no other use of the image than that authorized here. I also agree to take all appropriate steps to ensure that whenever the image is published or displayed it will be accompanied by text giving appropriate credit and attribution to the "Beneski Museum of Natural History, Amherst College, courtesy of The Trustees of Amherst College."

Please confirm that you agree to the terms in this agreement

I agree.

*Note that all fields must be filled out in order to submit this form.

First name::

Last name::

Position::

Company or Institution::

Address::

Phone::

Website: :

Email::

Requested object(s) [including catalog number(s) if known]::

Description of object(s)::

Permitted purpose::

Publication Medium:

Professional Journal

Magazine/Other Journal

Textbook

Monograph

Website

Exhibition

Other (please specify below)

If you selected "Other" for the question above, please specify here::

Expected Date of Publication:

I have read and agree to the Beneski Museum Visitor Policies:

Yes

What text is in the image?:

Enter the characters shown in the image or use the speaker icon to get an audio version.

[You can expect...]

rrogol — Fri, 19 Jun 2015 17:48:07 +0000

Rachel L. Rogol (inactive) Friday, 6/19/2015, at 1:48 PM

You can expect to receive a reply to your request within two weeks.

Amherst College: Request and Agreement for Non-Commercial Media Use

[Request and Agreement for Non-Commercial Media Use]

[You can expect...]