Permission to Publish

Person Information

Proposed Publication

Format and Distribution Information

Print Media	Book Magazine/Journal Catalog/brochure/flyer Newspaper article Cover Thesis Personal publishing (1000 or fewer copies)
Film/Video Production	Standard/non-standard TV - Local Standard/non-standard TV - National Standard/non-standard TV - Worldwide Non-theatrical distribution Non-Broadcast Non-Broadcast Instructional Home video sales/rental Theatrical
Digital Publishing	E-Books Online Exhibit Website
Other Uses	Advertising Exhibits Commercial Display Office Decor Commercial Product Presentation Theater/Live Event Classroom Project

Materials to be published

Item Title/Name	Item Accession or Call Number	Item Description	Date of Item

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Do you request a digital file of the item/materials listed above?	YesNo

Any requested files will receive a link to the email provided above.

Conditions of Publication

I will credit all materials as follows: Courtesy of Archives & Special Collections at Winona State University
Reproductions of copyrighted materials held by Archives & Special Collections may not be published, displayed, or further reproduced without the permission of Archives & Special Collections and the copyright holder.
This policy encompasses publication in print, audiovisual, and electronic formats (including websites).
The patron has full responsibility for determining copyright status, locating copyright holders, and abiding by current copyright laws when publishing, displaying, or reproducing copies of Archives & Special Collections materials.
The patron will hold Winona State University harmless against all claims, demands, costs and expenses incurred by copyright infringements arising from use of Archives & Special Collections materials.
By signing below, I acknowledge that this request constitutes a non-exclusive/one-time use only. Also, I agree to contact the Archives & Special Collections to use, duplicate, or distribute the images outside the context of this request.

I Agree

Darrell W. Krueger Library | 507.457.5140

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BP Logix Process Director