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unpublished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