This Agreement is between JewishGen, Inc., a Texas non-profit corporation ("JewishGen"), and _______________________________________, the Donor of the following materials to JewishGen’s ______________________________ Program or Project.
Description of the Material:
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:
I understand that JewishGen, Inc. will only be able to accept the material for publication on its server when Joyce Field, Research Division Project Manager, jfield@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
____ I, Donor certify that I am the author of the donated 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 understands that JewishGen will rely on this certification.
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; and mail to:
Joyce Field
625 Avondale Street
West Lafayette, IN 47906-1101
USA
or fax to: (765)463-7194
When all documentation has been received, JewishGen, Inc. will execute and return a signed copy for your tax records.
DONOR Name (print or type): _______________________________________
DONOR Signature:_________________________________ Date: _______________
DONOR Address: ______________________________________________________
______________________________________________________
(City, State, Province, Country, ZIP/Postal Code)
Phone: ________________________E-mail: _____________________________
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...
"preserving our history for future generations"
_________________________________ Date:________________
Warren Blatt, Managing Director