PHOTO RELEASE PERMISSION for FIREPLACE ACCESSORIES

Thank you for agreeing to have your objects illustrated in an upcoming book. This agreement is between you and the author. To verify your agreement, the author has been asked to obtain this release for the publishers, Schiffer Publishing, 4880 Lower Valley Road, Atglen, PA 19310 (610) 593-1777. (You may call to confirm this.) Please sign at the bottom and return this to the author:
Dona Z. Meilach
2018 Saliente Way
Carlsbad, CA 92009
              Phone 760 436-4395
Fax 760 436-1402
Email: DMeilach@msn.com
I hereby give permission for photographs of objects that I have created to be used in the Publication, named below, of Schiffer Publishing and in related promotional materials, i.e. excerpts, magazine articles, advertisements, etc.
Publication name:
Author:
Authorís address:
FIREPLACE ACCESSORIES (Tentative Title)
Dona Z. Meilach
2018 Saliente Way, Carlsbad, CA 92009

Each book differs in design. Sometimes credit is given to the contributor of an item in the photo caption, and sometimes credits are listed as a group at the beginning (or elsewhere) in the book. It is too early to tell which will be used in this book.

If another person must be credited for the photography, please include that personís name and any required permission to use these photos. If necessary, the photographer must also sign one of these forms.

Please print your name exactly as you wish it to appear in the credit line and/or acknowledgements.

_________________________________________________

Please print the name of the photographer who must be credited, if applicable.

___________________________________________________


Signed_x________________________________________________

Date __________________________________________________

Address: _______________________________________________

______________________________________________________

Phone:_______________________Fax_______________________

E Mail:_________________________________________________

Web Site Address:________________________________________