  The Magazine of Culture and Community
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 Arts Council of the Central Okanagan 100-1690 Water Street Kelowna BC Canada V1Y 8T8 Email: Click Here. Elke Lange, Executive Director Telephone: 250.861-4123 Copublished by Wheat King Publishing Jeff Pexa, President Telephone: 250.491.0169 Produced in association with the Okanagan Institute
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IMAGE RELEASE FORM
Please print out 2 copies of this page, sign both copies, retain one for your files and return the other to the editorial office.
Artist's Name/Address and Copyright Holder's Name/Address (if different):
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Title(s) of Illustration(s):
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Medium:
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Original Dimensions (if Applicable):
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Date of Execution (if Applicable):
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Photographer or other Credit Line:
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Article title:
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Article author:
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I hereby grant to Okanagan Arts, its sponsors (the Arts Council of the Central Okanagan and Wheat King Publishing) nonexclusive worldwide rights to reproduce the above-mentioned Illustration in this and all future revisions of the above cited publication. I understand that this permission includes reproduction in print, electronic, and/or computer-readable formats (including, but not limited to, online reproduction on the World Wide Web).
I certify that I am the copyright holder of the above-mentioned Illustration. I understand that (1) I will retain copyright to the above Illustration, and (2) my credit line will be displayed in relation to any reproduction of the above artwork.
Artist, Photographer or Copyright Holder (print name):
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Signature and Date:
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Concerning Promotional Material: You are giving permission to use your illustrations in promotional materials for the magazine. In the event that one of your illustrations is used for this purpose, you and the artwork will be appropriately credited.
