Application for
Reproduction Rights

 

Application to reproduce photos from the collection

Please Print this Reproduction Rights Form and complete before mailing.

(a) Applicant Details
Name: ................................................................
Address: .............................................................
...........................................................................
Postcode: ................. Phone: ..............................
Date: .......................................

(b) Details of Photos required
Please print clearly to ensure photos are accurately identified
1. ...................................................................................................
2. ...................................................................................................
3. ...................................................................................................
4. ...................................................................................................
5. ...................................................................................................
6. ...................................................................................................
(Please add list if insufficient space)

(c) Specific purpose for which reproductions will be used:
......................................................................................................
......................................................................................................
......................................................................................................

(d) Type of publication for which photo is required (Please tick)
Newspaper
Periodical article
Catalogue
Book
Advertising
Text Book
Other (please specify)

Title ........................................................................................
Author ....................................................................................
Publication Date ......................................................................
Publisher ................................................................................
Size of print run .......................................................................
Form of Marketing (Retail, Mail Order, Wholesale, etc)
...............................................................................................
Format (including form of reproduction)
...............................................................................................

(e) Application
I, the Applicant, hereby apply to the Morton Bay Regional Council to reproduce the above photos in the publication(s) cited above and acknowledge that if approval to use is granted then I will pay the Council's charges in relation thereto and otherwise comply with the attached.
................................................. on ...../............./20....
Applicant's Signature and Date

Conditions for Reproduction of Photos
In return for the Morton Bay Regional Council, ('Council'), granting the applicant permission to reproduce the photos, the applicant agrees to indemnify the Council and keep the Council indemnified against all actions, proceedings, claims, demands, costs and expenses to which the Council may become liable as a consequence of or arising from the applicant's use of the photos.

Permission to reproduce the Photographic Materials is granted for the cited Publication/s only. A new application in writing must be lodged for any other publication/s including reprints, revisions and translations of the particular Publication.

All reproductions must be credited as follows:

"Collection: Local History Collection, Redcliffe City Library ................."
[The Library requests the inclusion of the negative number after the credit.]

In accordance with the Copyright Amendment (Moral Rights) Act 2000, if the photographer is known, he/she must be cited as the creator of the material.

Any additional credit line advised by the Library must be included.
If it is proposed to use the Photographic Material in relation to production of a cover or dust jacket then separate prior approval must be obtained from the Library in writing.

In the event of the publication not being published within twelve (12) months of the Publication Date approval to use the Photographic Materials shall lapse and a new application will be required.

The Applicant shall supply to the Redcliffe City Library immediately after publication one (1) complimentary copy of the Publication.

The Permission hereby granted is personal to the Applicant and may not be assigned, transferred or sub-let. The Applicant shall pay the Library's charges in relation to this transaction within 30 days of the Library issuing an invoice to the Applicant. The charges payable will be in accordance with the scale existing at the date of application.

The Completed form should be sent to:
Redcliffe City Library
PO Box 66
Redcliffe
Queensland 4020
Australia
Enquiries:
Phone +61 7 3283 0320
E-mail: localhistory.redcliffe@moretonbay.qld.gov.au

Office use only:
Permission to Reproduce specified photos in specified publication as requested by
...................................................... on ......................................
has been granted by Redcliffe City Library
Signature: ...................................... Date: ...................................