Copyrighted Materials Agreement
The Ohio State University Extension
The Ohio State University, on behalf of its Cooperative Extension Service, grants the requestor indicated below (“Requestor”) permission to utilize the copyrighted image(s)/material(s) attached hereto as Exhibit A in the manner described below:
Description of Image(s)/Material(s):_________________________________________________________
Author(s)/Editor(s) (if known): ____________________________________________________________
Payment due (if any):____________________________________________________________________
Requestor’s use of the image(s)/material(s) will be limited to:
__ Photo prints
For the following purpose(s):
Date(s) of Publication:
__ Personal use
Please provide a description of intended use, including the intended date of first use.
For publication please provide a description of the image(s)/material(s) and location of image(s)/material(s) in the publication including page number and caption:
In each of the above cases appropriate citation/attribution regarding the source of the image(s)/material(s) must be given (e.g., “Used with permission of The Ohio State University Extension, 2120 Fyffe Road, Columbus, OH, 43210.”)
This agreement is valid for a period of 2 years from the date of the last signature below. To extend this agreement a new agreement must be signed by both parties.
Except for the permission(s) specifically granted herein, The Ohio State University retains all other rights, title and interest in the copyrighted image(s)/material(s). All permission(s) herein granted shall be non-exclusive.
This agreement shall be construed and enforced in accordance with the laws of the United States of America and the State of Ohio. This agreement constitutes the entire agreement between the parties regarding the subject matter hereof and supersedes any and all prior negotiations, agreements, representations and understandings.
By signing this agreement, Requestor accepts the terms indicated above.
Signature of Requestor Date
Print Name of Requestor:____________________________________________________
Print Name of Organization (if applicable) _______________________________________
When signed by an authorized agent of The Ohio State University, this form constitutes permission for use as outlined in this agreement.
The Ohio State University Date
Please return this form by (date) ___________ to:______________