MAIL SUBMITTAL FORM

We are delighted that you have chosen to add your wall messages to this site. We truly believe that the wall reveals a unique tale of the Gainesville area and the richness of the tale increases with the telling.

Please print this form, complete it as fully as possible, and send it with either a copy of a photograph or a digital copy to: Ms. Pennie Delmond, c/o Matheson Museum, 513 E. University, Gainesville, FL 32601. Please do not send original photographs.

By signing this form and submitting your images and comments, you will be giving the University of Florida the non-exclusive right to freely distribute your images over the Internet accompanied by the relevant information on this form. The Messages on the Wall site indicates that these images fall under the provision of “Fair Use.”

In addition, your image(s) will be archived in the holdings of the Alachua County Historic Trust: Matheson Museum, Inc., 513 E. University Ave., Gainesville, FL 32601. By signing this form and submitting your images, you are certifying that you own the images and desire to post the images on the website and give the images to the Museum. You are certifying that you hereby irrevocably and unconditionally give and transfer to the Museum all right, title, and interest, including all copyright, trademark, and related interests, in and to the submitted images. Your submission of the images certifies that you know of no other parties that have an ownership interest in the images. The Museum may deaccession any materials that the Museum determines have no permanent value or historical interest. The Museum cannot promise the permanent exhibition of an image either on the Messages on the Wall website or in any other format.

If you have questions about the transfer of copyright please call the Museum at 352-378-2280.

Date Photographed, if known:

Photographer, if known:

Title of the message, if known:

Creator of the message, if known:

Date created, if known:

Message (Please type full message):

Occasion: (Why was it painted?)

Image submitted by:

Email address of submitter (will not be publicly available):

___________________________________________
Signature Date

Check, if applicable:
O Do not publish my name.