Standard Form
Historical Society of the District of Columbia Circuit
Oral History Aaeement of l$RFY
1. Having agreed to conduct an oral history interview with &a( CIC ri Icl?E‘f – –
for the Historical Society of the District of Columbia Circuit, Washington, D.C., and its
employees and agents (hereinafter “the Society”), I, dmm, do hereby grant and
convey to the Society and its successors and assigns, all of my right, title, and interest in the tape
recordings, transcripts and computer diskette of interviews, as described in Schedule A hereto,
including literary rights and copyrights.
2. I authorize the Society to duplicate, edit, publish, including publication on the
internet, or permit the use of said tape recordings, transcripts and diskette in any manner that the
Society considers appropriate, and I waive any claims I may have or acquire to any royalties from
such use.
3. I agree that I will make no use of the interview or the information contained
therein until it is concluded and edited, or until I receive permission fiom the Society.
SWORN TO before me this – a day of ,200L
My Commission expires feL. 7, 2ofL
the Historical
by Stephen J. Pollak, President of
I n
Schedule A
Tape recording(s) and transcript(s) resulting from 2 interviews of
(Number) Pma kh wkythe following dates:
Date (Month, Day, Year) 8.5 Title Number of Tapes
Pages of
The transcripts of the interviews are contained on I diskette(s).