Woodson Research Center Request for Permission to Publish Woodson Research Center (WRC) Materials

Conditions for publication: o Please note that while the Woodson Research Center owns the materials in our collections, we usually do not own the copyright to these materials, except where it has been explicitly transferred to . o Woodson Research Center may grant permission only for Rice University copyrighted materials. You are solely responsible for determining the copyright status of materials and obtaining permission to use material from the copyright holder. o Please properly acknowledge Woodson Research Center as the source of the material: Courtesy Woodson Research Center, , Rice University. o We appreciate receiving a copy of any published work that features our material. o WRC must be assured that the proposed publication will result in a representative presentation of the original. Superimposition of text, addition of color or other substantive alterations are not allowed.

Proposed publication (article, book, video or other work in which materials will appear):

Materials to be published: Title / Collection number / Box number / Folder number / Call number (WRC staff can assist in providing this information)

Fondren Library MS 44, P.O. Box 1892, Rice University , 77251-1892 713-348-2586 713-348-6172 (fax) www.rice.edu/fondren/woodson Email: [email protected] Woodson Research Center Request for Permission to Publish Woodson Research Center (WRC) Materials

Warning Concerning Copyright Restriction

The copyright law of the United States [Title 17, United States Code] governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified by law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be “used for any purpose other than private study, scholarship, or research.” If a user makes a request for, and later uses, a photocopy or reproduction for purposes in excess of “fair use,” that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order if, in its judgment, fulfillment of the order would involve a violation of copyright law.

Statement of responsibility: I certify that the information on this sheet is correct, and that any publication of the requested materials will meet the above conditions established by WRC. I understand that no Rice copyrighted reproductions may be published without written permission of WRC, and that no copies will be made of the materials provided. Further, I am aware of my responsibility in the case of possible copyright infringement.

Applicant signature: ______Date: ______

Applicant Name: ______

Address: ______

To be completed by WRC staff: Permission to use the indicated reproduction(s) in the above mentioned publication is granted. WRC Archivist: ______Date: ______

Please return completed and signed form to the Woodson Research Center for authorization.

Form reviewed 09/19

Fondren Library MS 44, P.O. Box 1892, Rice University Houston, Texas 77251-1892 713-348-2586 713-348-6172 (fax) www.rice.edu/fondren/woodson Email: [email protected]