Museum of Boulder Photo Use Agreement form

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Name *

Email *

Phone number *

Address *

Organization (if applicable)

Name/Title of project

Library call number(s) of BHS images being used *

List all call numbers you are using that begin with BHS

Reason for use *

Please describe how the images will be used and for what purpose *

Estimated audience reach *

Rough estimate to provide a general scope of the project

By signing my name below, I agree to the following

Each BHS image used will be properly registered by completing one or more BHS Use Agreement Forms (this form).

Attribution will be given to all BHS images using the following credit line: Carnegie Library for Local History Museum of Boulder • BHS images will be used only for the purpose stated on this form, Images will not be sold, copied, deposited, or placed on file in any archive, library, museum, or similar repository.

Questions of copyright are responsibility of the user. A complimentary copy of the publication, or film, will be provided to the Museum upon publication/completion.

Type your full legal name as a signature *

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