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Donor Agreement — JewishGen Databases

This Agreement is between JewishGen, Inc., a Texas non-profit corporation ("JewishGen"), and

_______________________________________, the Donor of the following materials to the JewishGen Database Program

TITLE OF THE DATABASE: __________________________________________________________

DATABASE LOG NUMBER: __________________ (If you have no Log Number, please refer to < http//www.jewishgen.org/databases/$description.html > for proposal submission guidelines and assignment of Log Number before submitting this form)

1. Donated Material

If the material has not previously been published, describe in detail the nature of the material, how you received it, and whether it is covered by any restrictions that would prevent its being on the JewishGen web site. Skip B and go to C.

________________________________________________________________________________
If the material has been previously published provide the following information:

Title: __________________________________________________________________

Publication Date (if available):_________________________________

Publisher and Editor Identification (if available): ________________________________________________________

English translation derived from the above title: ________________________________________________________
I understand that JewishGen, Inc. will only be able to accept the material for publication on its server when the appropriate JewishGen Project Manager dbsmngr@jewishgen.org confirms that all of the necessary procedures, as JewishGen may require, have been followed. Check all of the following that are applicable:
- ____ This project is a "work in progress" and from time to time material may be added. This additional material will be donated to JewishGen under the same conditions as set forth below in Section 2.
- ____ The original material is in English, so there is no translation involved.
- ____ I, Donor, certify that I am the translator and/or transliterator of the referenced material.
- ____ I, Donor, engaged someone else to make the translation and/or transliteration of the referenced material. If applicable, I have enclosed an executed Work for Hire agreement between the translator and me; an executed Photo Donor Agreement; permission from the copyright holder to include Copyright Protected Material.
Donor certifies that Donor has all rights necessary to donate the material to JewishGen as detailed in Section 2 below, including all applicable permissions of others, such as translators, creators, writers, artists or subjects of photographs. If applicable, Donor has enclosed copies of all necessary permissions that evidence Donor's right to donate the material to JewishGen. Donor agrees to take full responsibility for damages to or costs incurred by JewishGen if anyone ever makes a claim of ownership of the material donated to JewishGen.

2. General Requirements

In conjunction with this agreement and for no additional consideration, the Donor hereby grants to JewishGen a non-exclusive perpetual right to use, publish or distribute the donated material. This right gives JewishGen no rights to the underlying data or information and JewishGen shall in no way amend of modify such data or information. The non-exclusivity of such right means that the Donor retains all rights to such data or information and may use, publish or distribute such data or information in any way the Donor chooses. This right may not be revoked after the date of this agreement.

DONOR:

Please complete the Donor portion; sign and date two copies; attach any additional forms as instructed by project manager or program coordinators; include a stamped self-addressed envelope for return of the executed copy for your records, and mail to:

JewishGen, Inc.
Museum of Jewish Heritage
36 Battery Place
New York, NY 10280
Fax: (646) 437-4328

When all documentation has been received, JewishGen, Inc. will execute and return a signed copy for your tax records.

Name: ____________________________________________ JewishGen ID #: _______
       (type or print: First, Middle, Last Name)

Signature: ______________________________________  Date: _________________

Mailing Address: _________________________________________________________

__________________________________________________________________________

E-Mail: _____________________________________  Phone: ____________________

JEWISHGEN, INC.

JewishGen, Inc wishes to thank you for your JewishGen-erosity in donating this valuable material to the programs and projects we provide. Please consult your tax advisor for a determination of whether this donation constitutes a tax deductible donation to JewishGen, Inc. a 501(c)(3) Texas corporation. Your donation has enabled us to take one more step forward towards our mission of

"preserving our history for future generations"

__________________________________________________  Date: _______________
Warren Blatt, Managing Director