Historical Foundation

AWARD IN CUMBERLAND PRESBYTERIAN HISTORY


OFFICIAL ENTRY FORM

 

Please supply information below by typing or printing. Be sure to read the transfer agreement and add your signature.

 

NAME: _______________________________________________________________________________

ADDRESS: ____________________________________________________________________________

TELEPHONE NUMBER:_____________________________________________________________________________

 

MANUSCRIPT TITLE: __________________________________________________________________

_____________________________________________________________________________________

SUBJECT: ____________________________________________________________________________

_____________________________________________________________________________________

NUMBER OF PAGES: __________________________________________________________________

A clear copy of the above manuscript or the original copy should accompany this entry form and be directed to the Historical Foundation, 1978 Union Avenue, Memphis, Tennessee 38104.

 

STATEMENT OF AUTHORSHIP AND COPYRIGHT TRANSFER:
I assure this to be an original, unpublished manuscript which to my understanding meets the criteria set forth by the Historical Foundation for the Historical Foundation Award in Cumberland Presbyterian History.

Upon transfer to the Historical Foundation of the Cumberland Presbyterian Church and the Cumberland Presbyterian Church in America, Inc., the above manuscript is granted irrevocably and absolutely to the Historical Foundation of the Cumberland Presbyterian Church and the Cumberland Presbyterian Church in America, Inc. Any copyrights that I may possess to this manuscript are hereby dedicated to the Historical Foundation of the Cumberland Presbyterian Church and the Cumberland Presbyterian Church in America, Inc.

 


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               (Signature) (Date)


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