Searcy County Library

Jim G. Ferguson Memorial

Consent Form

Instructions:  In order to donate or furnish historical/genealogical material to the Searcy County Library, please print or duplicate the following consent form, and include it with donated text  material. Also, please identify all submitted photos.

Searcy County Library

202  East Main, Marshall AR  72650

Phone (870) 448-2420  Fax (870) 448-5453

 

 

I ________________________________ with the submission of this verbal, printed, or image materials or history give my consent and permission to Searcy County Library to reproduce, sell, copyright, distribute or display these materials.  I also affirm to the best of my knowledge that these submitted material(s) carry no other existing copyright.

 

Signature __________________________                         

Date _____________________________

 

Thank you;

Searcy County Library