Permission to Publish Form — Roberts Library

Permission to Publish

About You

Your Name(Required)

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Street Address Address Line 2 City State ZIP Code

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Permission to Publish Request

I hereby request permission from the Butler Center for Arkansas Studies to publish or use in facsimile reproduction the following material(s), for which the Center has ownership rights.

Citation of Requested Material(Required)

Full citation of material(s) to be published or used in facsimile production. (Collection title and number, series/subseries number, box number, file or item number, etc.)

Description of Material to be Published(Required)

Intended Use of Materials

Type of Publication(Required)

Book, article, documentary, etc.

Publisher(Required)

Title of Work(Required)

Anticipated Publication Date(Required)

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Collections

Digital Collections

Art

Services

Research Resources

Using the Collections

2nd Friday Art Night

Beginning Watercolor Painting

Writing All Year Workshop Group

Personal Archiving

For Teachers

For Students & Families

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2nd Friday Art Night

Beginning Watercolor Painting

Writing All Year Workshop Group

Personal Archiving

Permission to Publish