Publication Permissions Form
I, ___________________________, being known in the Society for Creative Anachronism, Inc., as _______________________________, do hereby affirm that I am the sole/joint author/creator of the work entitled ____________________________________________________ which is a(n) article/poem/song/music/drawing/other (specify:________________________). If I am a joint author/creator of this work, I hereby give the names of all others: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ I hereby grant to ___________________________________________ the right to distribute my creation to newsletters and researchers in the Society for Creative Anachronism, Inc., for publication and research. I realize that I retain all other rights in the above-mentioned work. If I am not the sole author/creator of the work I shall assist the _______________________ in obtaining this permission from all of my co-authors/creators. The AUTHOR understands that their work (other than ARTWORK or POETRY) may, for reasons of space availability or editorial concerns, be edited or abridged by the publishing Chronicler or Editor, unless specifically requested otherwise. Furthermore, the AUTHOR understands that such editing or abridgement will be done with care to maintain the context and content integrity. If a submitted work is published in an edited or abridged form, the Chronicler or Editor will include the text "Edited by [name] or Abridged from the Original Text by [name]. In addition to this agreement, I request the following: (Please check all that apply.) ___ Please send me a copy of the newsletter or document in which my work is used. (Your address will be included on the article only if you include this item.) My address is as follows: __________________________________________________________________________ __________________________________________________________________________ ___ Do not edit or abridge my work. ___ I wish my work to be removed from the website after this date. Signed this _______ day of ____________, being __________ Gregorian. Sign legal name here _____________________________________________________
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