Town of Burlington

29 Center Street                                                                                              Phone 781.270.1604/1660

Burlington, MA 01803                                                                                   Fax     781.270.1608

                                                                                                                          www.burlington.org/archives

Office of the Town Clerk, Archives Division                                            Email: archives@burlmass.org
 
                                       

 

 


                                        Jane L. Chew, CMC, Town Clerk                                                                 Lisa A. Plato, CA

                                        Eleanor M. Gelinas, CMC, Asst. Town Clerk                                            Archivist/Records Manager

 

 

PUBLISHING AGREEMENT

 

I/we request permission to reproduce records from the Archives that are listed below. I/we agree to abide by the following terms:

 

1.       Credit line/citation: This credit line should be included for each record reproduced:

Courtesy of the Burlington Municipal Archives, Burlington, MA (_________________________________________

__________________________________________________________________________________________ ).

 

2.       Permission is granted for one-time use. To make reproductions or republish, you must request written permission from the Archivist.

 

3.       A copy of the publication containing the reproduction should be given to the Archives as soon as the work has been published. If the publication is a Web document, please give the Archives the URL.

 

4.       The Archives does not claim to control the rights of reproduction for records in its collections. The publishing party assumes all responsibility for clearing reproduction rights and for any infringement of the U.S. Copyright Law (USC Title 17).

 

5.       If permission is granted for the publishing party to photograph records, all negatives must be given to the Archives.

 

I/we agree to the conditions specified above.

 

_______________________________________________________________________________

Signature

 

_______________________________________________________________________________

Name (please print)

 

_______________________________________________________________________________

Address

 

_______________________________________________________________________________

Phone number

 

Please return signed original to Burlington Municipal Archives, Town Hall, 29 Center St., Burlington, MA  01803

 

Items:

______________________________________________________________________________________________

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