The Ohio State University Photo Archives
Photographic Use Application (Please print and either fax or mail this form to the Photo Archives)
The Ohio State University
Photo Archives
2700 Kenny Road
Columbus, Ohio 43210
Phone:
614-292-1767
Fax: 614-688-4150
The terms and conditions of your license for the use of OSU Photo Archives images are set forth below. Please read this license agreement carefully and fill out all fields. By responding affirmatively below, you will be agreeing to be bound by the terms and conditions of this agreement with respect to each OSU Photo Archives image you select. Please note, approval may be required from OSU Trademark and Licensing for some applications.
| Your use of the image/images will be: | Non-Profit Use | ||
|
OSU (internal) Use | ||
|
Electronic (non-Resale) Use | ||
|
Electronic (Resale) Use |
Please provide description of
intended use:___________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
By signing this application, I
accept personally and on behalf of any organization
I represent, the conditions set forth on the back of this form:___________________________________(Signature)
| Name: | ___________________________________ | Dated: | ___________________________________ |
| Address: | ___________________________________ | Telephone: | ___________________________________ |
| ___________________________________ | Fax: | ___________________________________ | |
| ___________________________________ | E-Mail: | ___________________________________ |
Approved for Commercial Use ____________________________________ OSU Trademark and Licensing |
When signed by an authorized agent of the OSU Photo Archives, this form constitutes permission for publication as outlined in this application.
Signed: ______________________________Dated: ____________________________