copyright authorization form
Transcription
copyright authorization form
COPYRIGHT AUTHORIZATION FORM* By this letter, I (Mr / Ms ___________________________________________) , the copyright holder of the works of Mr / Ms ___________________________________________, authorize the Editorial Board of the Revue Recto/ Verso (Young Researchers’ Review of Genetic Criticism) to publish : the extract from the manuscript / the unpublished work/ ___________________________________________ in the the article facsimile** written by ___________________________________________ to appear in the review Recto/Verso. Copyright Owner’s Signature _______________________________________ Date _____________________________________________________________ * Please return this authorization by post or by fax to the Editorial Board of the Revue Recto/ Verso at the address or number below. ** Delete as appropriate Revue RECTO/VERSO, c/o ITEM (Institut des Textes et Manuscrits Modernes), 45 rue d’Ulm, 75005 Paris Tél. : + 33 (0)1 42 40 70 84 ; 01 44 32 32 33 - Fax : 01 44 32 31 77 Contact : [email protected] Site : http://www.revuerectoverso.com