Updated 09/2019
RAYNOR MEMORIAL LIBRARIES
AP
PLICATION FOR PRINTING, PUBLICATION, OR EXHIBITION
OF AUDIOVISUAL MATERIALS
Th
is form allows you to request copies of all formats of audiovisual materials (photographs, video footage, audio files,
digital images). It is also your first step to request permission to publish or exhibit these materials. Please read the
conditions of use below, then complete this form and the order form below. Send BOTH the application and the order
form to the attention of the Department of Special Collections and University Archives.
Pl
ease note:
All duplication is subject to the conditions below. Special Collections and University Archives reserves the right to deny
requests for duplication if materials are restricted, or if duplication will damage already compromised materials.
Fulfillment of duplication requests is subject to staff availability and, while we make every effort to fulfill requests within
36 - 48 hours, some large or complex orders may take up to two weeks or longer to fully complete. We will notify you if
your order requires additional time to complete.
We
will send an invoice upon completion of the request, charging you appropriate fees for duplication, use, as well as
postage, if applicable.
In
accordance with donor agreements, application forms for the Holy Rosary Red Cloud and St. Francis Records require
the use of a different application form. For these collections, please use the application form available here: Holy
Rosary-Red Cloud Indian School:
https://www.marquette.edu/library/archives/documents/PhotoUseApplication-HRM-RCIS.pdf
St. Francis Mission: https://www.marquette.edu/library/archives/documents/PhotoUseApplication-SFM.pdf
Se
nd this document to Special Collections and University Archives:
Vi
a Email: send the form via email directly to the staff member you’ve been working with. Staff contacts are available at
https://www.marquette.edu/library/archives/general.php#staff
If
you have questions about this form, please contact us directly at
https://www.marquette.edu/library/archives/askarch.php
Vi
a Mail
Department of Special Collections and University Archives
Raynor Memorial Libraries
PO Box 3141
1355 W. Wisconsin Avenue
Milwaukee, WI 53201-3141
Vi
a FAX to: (414) 288-6709
Appl
icant _______________________________________________________
Address _______________________________________________________
_______________________________________________________
Email _______________________________________________________
Telephone Number _______________________________________________________
Updated 09/2019
Nature of request:
Creation of duplicates for Personal Use Only
Publication of materials
Project Title, Publisher, or URL (if applicable):
_____________________________________________________________________________
Expected Date of Publication: ______________________________________________________
Exhibit / Display of materials
Brief Description of Item(s) requested:
******************************************************************************************
CONDITIONS OF USE / DUPLICATION
The permission to use all materials from the Special Collections and University Archives of the Raynor Memorial Libraries
is granted as long as the following conditions are met:
1. Permission must be requested in writing or electronically using the Applications for Printing, Publication or Exhibition
of Audiovisual Materials. Duplication or possession of an image, digital object or electronic file does not constitute the
permission to publish it in any form (print, website, or other venue).
2. Permission is for one-time, one-project use only, unless otherwise negotiated based on the published fee structure.
Marquette University retains whatever rights it has to all materials. Materials may not be used for any other purpose
than those listed on this application.
3. Credit must be given to the “Department of Special Collections and University Archives, Raynor Memorial Libraries,
Marquette University” and to the creator of the work, if known. For complete citation format, please refer to our
citation guide at http://www.marquette.edu/library/archives/citationguide.pdf
4. Credit must appear with the material or on a credit page that indicates the page number and position of the object on
the page. In the case of audiovisual material, appropriate citation for the Special Collections and University Archives
must appear in the credits.
5. If the material is still under copyright and the copyright is not held by Marquette University, the requestor must seek
permission from the creator of the work or from the current copyright holder. The Special Collections and University
Archives will provide the creator's name, if known.
6. Marquette University assumes no responsibility for infraction of copyright laws, invasion of privacy, or any other
improper or illegal use that may arise from reproduction of any image or use of any material. In all instances the
applicant agrees to hold the University and its agents harmless against any and all claims arising or resulting from the
use of this material and shall indemnify the University and its agents for any and all costs and damages arising or
resulting from any such unauthorized use.
7. Photographs may be cropped to suit design and layout, but may not be otherwise altered, colorized, or drawn upon
without a letter of permission in addition to a signed permission form. Duplication or possession of an image, digital
object or electronic file does not constitute the permission to alter it.
8. Raynor Memorial Libraries reserves the right to decline permission to publishers and individuals who have not
complied with these conditions.
9. In some cases, the Raynor Memorial Libraries will request a copy of the publication be donated to the Libraries.
Updated 09/2019
I have read and agree to all conditions stated above:
Signature of Applicant ______________________________________ Date _____________________
Applicant Name: [PRINT] ________________________________________________________________
*****************************************************************************************************
Permission granted to publish/exhibit copy photographs from Raynor Memorial Libraries collection, one-time use only,
and subject to the conditions listed on this form.
For Raynor Memorial Libraries
Name ____________________________________________ Date _________________
Title____________________________
click to sign
signature
click to edit
Updated 09/2019
Raynor Memorial Libraries
Special Collections and University Archives
Audio-Visual Materials Order Form
All users must read and sign the above copyright / use agreement
Collection
Description or Title of
Material
Identifier or
Digital ID
Format
requested
Quantity
Cost (See
Fee
Schedule)
EXAMPLE:
Hilltop
Yearbook
Yearbook 1916, page 76
HT_1916_00000082
Scanned
TIFF
1
$5.00
For a complete schedule of use fees, please see:
https://www.marquette.edu/library/archives/fee_schedule2017.php
Digital Scanning
$2.50 per image to be scanned, or $25.00 per hour. There is no charge for images that have already been scanned.
Scanning of oversize and fragile materials is subject to the discretion of the archives staff and subject to a $10.00 per
hour surcharge for equipment set-up and labor.
DVDs (motion footage) / CDs (audio)
$10.00 per disc
Shipping and Handling
Minimum charge $5.00
******************************************************************************************
STAFF USE ONLY
Staff Member: ______________________________________________________________
Cost of Duplication: __________________________________________________________
Use Fee (if applicable): _______________________________________________________
Shipping and Handling: _______________________________________________________
Total Due: __________________________________________________________________
Date sent to Patron: __________________________________________________________
Date Payment Received: _______________________________________________________