Nonexclusive Rights Agreement for Photographs Introductory

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American Chemical Society Office of Award Programs 1155 Sixteenth Street N.W. Washington, DC 20036 (800) 227-5558, ext. 6283 (202) 872-6283 [email protected]

Nonexclusive Rights Agreement for Photographs Introductory Statement⎯In cases where it is impossible for the American Chemical Society to own copyright to photographs that are being used for ACS national awards publicity purposes, the following agreement is intended to allow ACS to crop, to enlarge, to reduce, or to modify the photograph for use. The material, which contains the photograph, may be distributed in print and other formats including electronic. The photographer or authorized agent retains copyright to the photograph. Agreement I hereby grant nonexclusive, perpetual, irrevocable, and worldwide rights to the American Chemical Society to use, to crop, to modify if necessary, to reproduce, and to distribute the photograph, hereinafter referred to as the photograph, as described below, in print and in all other formats, methods, and technologies of distribution of any kind, now known or later developed. __________________________________________ Date ________________ Signature of copyright owner or authorized agent Description of Photograph ________________________________________________________________ ________________________________________________________________ Print Name and Address Below ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Photograph Credit ________________________________________________________________ ________________________________________________________________ ________________________________________________________________

American Chemical Society Office of Award Programs 1155 Sixteenth Street N.W. Washington, DC 20036 (800) 227-5558, ext. 6283 (202) 872-6283 [email protected]

Model Release Form I, ____________________________________________ do hereby irrevocably authorize, the American Chemical Society, its legal representatives, assigns, and those acting under its permission and on its authority, to publish, and use in all forms and media and manners for advertising, trade, promotion, exhibition, or any other lawful purpose whatsoever, still photographic images or pictures of me in which I may be included in whole or in part, alone or in conjunction with other persons, or composite, or reproductions thereof, or in derivative works made through any medium. I do hereby waive any right that I may have to inspect or approve the finished product or advertising or other copy that may be used in connection therewith or the use to which they may be applied. I hereby release and agree to hold harmless the American Chemical Society, its legal representatives, assigns, and all persons acting under its permission or authority, from any liability by virtue of blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur in any processing tending toward the completion of the finished product, unless it can be clearly shown that the publication thereof were maliciously caused, and produced, and published solely for the purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn, and indignity. I do hereby warrant that I am of full legal age and have every right to contract in my own name in the above regard. Further, I have read the above authorization and release, prior to its execution, and I am fully familiar with the contents thereof. Name ____________________________________________________________ Address ____________________________________________________________________

______________________________________________________________ Signature _________________________________________________________