1 Start 2 Complete Name * E-mail * Phone * Institutional/Company Affiliation Item(s) requested for publication * Please enter HagleyID numbers or citations Title or Working Title of Publication or Production * Publisher/Network/Magazine/Website * Format of publication * Book Scholarly Journal Magazine or Periodical Website Social Media Television series Documentary Exhibit Other Other If other, please specify: Anticipated publication date * Year Year202420252026202720282029 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Publishing Agreement I agree to the terms set forth below for permission to quote from or reproduce printed, manuscript, or audiovisual materials from the collections of the Hagley Library: 1. It is suggested that a brief credit line appear adjacent to any image when used in a publication, website or broadcast (i.e.: Courtesy of the Hagley Museum and Library). It is required that full citations appear in footnotes or credits of your publication or production for each item used from our collection. 2. Please include the following information in your full citation: [Description, date], [Box/folder number or digital file id], [Collection Title (Accession #)], Hagley Museum & Library, Wilmington, DE 19807 3. Full citation examples: Aberfoyle Manufacturing Company, 70_200_11767, Dallin Aerial Survey Company photographs (Accession 1970.200), Hagley Museum & Library, Wilmington, DE 19807 Annie Keister to Nora Edwards, 1896-02-09, Box 1, Folder 3, Nora C. Edwards papers (Accession 2036), Hagley Museum & Library, Wilmington, DE 19807 4. Payment of any applicable licensing fees must be received in full before permission is granted. Acknowledgement * I have read and agree to the Publishing Agreement Permission to publish is granted for one-time, non-exclusive, all-formats, world-wide rights for the project specified in this agreement for this project only. Note: Submitting this form does not constitute permission to publish. We will send an acknowledgment email that permission to publish has been granted. Please retain the acknowledgment email for your records. If you have special needs or requests, please contact us at research@hagley.org. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 4 + 2 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.