Permission to Use Images

Please make a printout of this form and send it to us with your slides and written material:


I ____________________________ give The Varo Registry permission to scan in _______ (number) of my images for a one-year period from ___________ to _____________ for use within The Varo Registry. I understand that my images will be available on the Internet via the World Wide Web. These images are copyrighted to me and cannot be reproduced without my permission. If the The Varo Registry is contacted to reproduce my images, I understand that the Registry will contact me directly.

Artist ____________________________________ Date __________

[Title, medium and size of artworks]

Image 1. ______________________________________________
Image 2. ______________________________________________
Image 3. ______________________________________________
Image 4. ______________________________________________
Image 5. ______________________________________________
Image 6. ______________________________________________
Image 7. ______________________________________________
Image 8. ______________________________________________
Image 9. ______________________________________________
Image 10 ______________________________________________


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