Feinberg Library Special Collections Permissions Form

Request for Permission to Use Special Collections Materials in Exhibits and Publications

Full Name:
Mailing Address:
I Am A:	If "Other", please describe
Company:
Telephone Number:
E-Mail Address:
Permissions requested for the following Exhibits/Displays: Note: Please be sure to include title, place and date of exhibit or display
Permissions requested for the following Publications: Note: Please be sure to include title and type (book, article, brochure, webpage, etc.)

For more information about the Special Collections at SUNY Plattsburgh, please contact:

Debra Kimok
E-mail (for best results): debra.kimok@plattsburgh.edu
(518) 564-5206