Permission to Publish Material from Yass & District Historical Society Collection Please enable JavaScript in your browser to complete this form.1) I/We request permission to publish (ie reproduce, print, display, transmit, broadcast the following items: (Please specify the title and author/creator of the document or image and the call number (if applicable) 2) Title of the publication(s), website, television series etc in which the items will be published or broadcast:3) I will include in the caption for each image the following information: Author/creator’s name, title, call number (if applicable) and the words “Yass & District Historical Society Inc Collection”.4) I understand and agree to the below conditions: *AGREE(a) Compliance with the requirements of the Copyright Act is my responsibility and the Society is not liable if I fail to comply; (b) The author/creator, title and other information are supplied by the Society in good faith; the Society is not liable for any incorrect information supplied; (c) I will limit the resolution of material reproduced to a level unsuitable for publication-quality printing; (d) I undertake to provide the Society with a copy of any publication; (e) I will adhere to the following special conditions (if any) specified by the Society; and (f) The reproduction cost is $20.00 per image for a printed publication. For reproduction fees for websites, television and film please contact the society. Please email permission form to yassarchives@gmail.com. Funds can be deposited directly to our bank account Yass & District Historical Society, Westpac, Yass BSB 032 771 Account No 12 0621. Ensure you name is noted on the deposit. A copy of the permission form will be forwarded to the applicant after authorisation by YDHS Inc. Please complete this permission form then funds can be deposited directly to our bank account Yass & District Historical Society, Westpac, Yass BSB 032 771 Account No 12 0621. Ensure you name is noted on the deposit. A copy of the permission form will be forwarded to the applicant after authorisation by YDHS Inc.Name *EmailPhoneAddressSubmit
