Aldo Leopold Foundation Archives

Request for permission to reproduce archival material

If you prefer to print and mail or fax your request, you may download a PDF version of form here.

Request Form

	Date of Request
	Contact Name
	Organization
	Address
	City
	State
	Zip Code
	Telephone
	Fax
	Email

	I am requesting permission to use:

			Historic Photographs
			Other

	I will be using the material in (please check all that apply):
			Book
			Exhibit
			Video/Multimedia
			Textbook
			Magazine/Periodical
			Website
			Other

	This should be considered a

	Please describe the context in which you intend to use the material:


	Special Instructions:


	Please use the NUMBER assigned to the photo to identify your request (photo numbers are in the format xxxx-xxxx)
	Photo 1
	Photo 2
	Photo 3
	Photo 4
	Photo 5
	Photo 6

	I agree to the following conditions of use:

	1. Use of the photo is authorized for one-time use. Use of photo for any other purpose without prior consent is illegal. Permission to use photo is not transferable.

	2. Credit for photo must be included. The appropriate credit information will be included when permission to use archivalmaterial is granted.

	3. Files of images should be deleted after use.

	4. The Aldo Leopold Foundation may charge for use of archival material. Charge will be determined based on informationprovided above.

If you have questions regarding the archives permissions process, please contact Jeannine Richards at jeannine@aldoleopold.org or by phone at 608.355.0279 ex. 25.