Pleasefillouttheinformationbelow:requiredquestionsaremarkedwithanasterisk(*);otherquestionsaretobeansweredwhereapplicable.Childrenoryoungpeopleundertheageof18yearsmaysubmitmaterialonlythrougharesponsibleadult.
Informationaboutthesubmittedmaterialwillhelpustoplacethisinalocalcontext,duringresearch,and/orwhendisplayingimagesortextonline(e.g.usingmappingtoolssuchasHistoryPin),orintheexhibition.
Personal datarelatingtocontributors(sectionabove'ContributionCredit'box)isneededtoensurethatwehavepermissiontodisplaysubmittedmaterial,andsothatwemightcontactyoushouldfurtherinformationberequired;thisdatawillnotbesharedinthepublicdomainwithoutpriorconsent (youwillbeaskedtospecifywhetheryourcontributionistobeacknowledgedpublicly,orwhetheryouwishtoremainanonymous).Pleaseobtainpermissionfromnextofkinbeforesubmittingpersonal familyhistoryinformation.
SubmittedmaterialwillbeincludedwithinLIPCAPexhibitionsorinthepublicdomaininotherwaysatthediscretionoftheprojectteam.Unfortunatelywedonothaveaccesstospooltapeplayers,socannotacceptthisformat.
Youmaysubmitthisformwithyourcontributions,electronically(byemailto:liparchaeology:gmail.com),orprintitoutandsenditbypost(to:'AtHomeExhibition',LIPCAPc/o1WestParkRd.,Derby,DE221GG).
PLEASESUBMITTHISFORM WITHINTHREEDAYSOFSENDINGEXHIBITIONCONTENTTOLIPCAPTHEFINALDATETHATWEWILLBEABLETORECEIVEEXHIBITIONCONTENTISJUNE302014
*Required
FirstName*Surname*
(Personsubmittingexhibitioncontent)(Personsubmittingexhibitioncontent)
Address(includingpostcode)*(Personsubmittingexhibitioncontent)
Telephonenumber*EmailAddress
Mediaformat*
Pleasesendcopiesonly,aswewillnotusuallybeabletoreturnmedia.IfyouwouldlikeLIPCAPtomakecopiesonyourbehalf(andatyourownrisk),pleasecontacttheproject
Digitalfile(s)
Papercopy/copiesVideocassette(s)Audiocassette(s)
Onlinesubmissionofcontent(e.g.projectwebsitecommentform,orMemoryCardform)
Iwould likeinstructionsshowingme howtosubmitdigitalfilestoLIPCAP
URLfordigitalfile(s)stored online
IfyouwishLIPCAPtoobtainmaterialstoredonline,enterthewebaddressthatindicateswherethiscanbefound.Makesurethatprivacysettingswillallowpublicdownloads,orentertheaccesspasswordbelow,ifapplicable
PasswordforLIPCAPto accessmediastoredonline(ifapplicable)
Filename(s)/number(s)*
Name(s)and/ornumber(s)thatyouhavegiventothedigitalfile(s)
ExhibitionMaterialSubject(s)
Brieflydescribethematerial submitted(e.g.photo,document,recordingetc.)andthesubjectportrayedordiscussedinthemedia,includinganyknowndates
Additionalinformationorcomments
Anyotherinformation relating tothematerialyouhavesubmitted orareabouttosubmit
ContributionCredit*
Specifywhetheryouwouldlikeyourcontributionacknowledgedbynameif/whensubmittedmaterialisdisplayedpublicly(seetheboxattheendofthisformforcopyrightallocation)
Yes, Iwouldlike to becredited asprovidingthismaterialifitisdisplayed publicly
No,IwishmycontributiontoremainanonymousifthematerialthatIhavesubmittedisdisplayedpublicly
OnlinelinkthatIwouldlikeLIPCAPtoprovidewhencreditingmyworkonline(ifapplicable),e.g.tomywebsite,Flickrphotostream,orothersite
LIPCAPwillprovidelinkstoexternalsitesatitsdiscretion
Termsofimagedonation:tickoneoftheboxesbelow.(Forfurtherinformation on CreativeCommonslicensessee*
Bytickingtheboxbelow,IdeclarethatIamthecopyrightownerofthematerialthatIsubmittoLIPCAP,andhavefullpowertomakethisgiftand/orsharecopyrightownership.IconfirmthatIfullyunderstandtheseterms.
IwishtodonatethismaterialasagifttoLIPCAP,transferringcopyrightownershipforthematerialthatIsubmittotheproject
IpermitLIPCAPtoshareorexhibitthematerialthatIsubmitinthepublicdomain,butwishtoretaincopyrightownership
Iwishtosharecopyrightownershipthroughnon-commercialshare-alikeCreativeCommonsLicensing(ifLIPCAPdisplaysthismaterialpublicly,thenameofthecontributorwillbecited,i.e.thisoptioncannotbeselectedifwishingtoremainanonymous)
Iwould liketodiscussthecopyrightarrangementswithaprojectteammember
IagreetoLIPCAPusingthematerialthatIsubmitforresearchpurposes(i.e.extractsmaybeduplicatedaccordingtoeducationalcopyrightexceptions),butdonotwishthismaterialtobesharedinentiretyinthepublicdomainwithoutpriorconsent
Mediacontact*
IagreetoallowLIPCAPtocontactmeregardingpressormediapublicityfortheprojectand/orprojectevents
YesNo
Date* dd/mm/yyyy