IMAGE USE RELEASE FORM
Consent for use of photographs
I hereby give my consent to
I agree that my name may be used
in hard copy and electronic formats in association with each photograph or
illustration in acknowledgement of my contributions, unless I check the box
below.
f
Please do not list my name in association with photographs and/or illustrations
or acknowledge my contribution on the Internet or in printed publications.
I represent that I am at least 18 years of age, that I hold a complete and undivided copyright interest in the photographs and/or illustrations, and that I have read and fully understand the above paragraphs and knowingly and voluntarily execute this release.
Signed, _________________________
Parent/Guardian Signature (if
under 18):
______________________________________________________________________________________
Printed name
Organization/Group
(if any)
Date
___________________________________
___________________________________
___________________________________
Address
________________________________________________________________________
Phone and
email
Please mail to:
Illustrations Editor
Dept. Botany and Plant Pathology