Please complete and submit this form so that we can better assist you in the Rights Declaration process. Your Name * Your E-mail address * Your Telephone number Business or Organization name Your Postal address Street City Province Postal Code Exact references to items or images requested * Are the items or images on the Nova Scotia Archives website? * Yes No Intended Use. Check off the use that applies to your request. * Personal research and study Standard print/electronic publication (books, periodicals, websites, CDs, etc.) Book covers, dust jackets, posters Media advertising Display purposes (stores, hotels, restaurants, etc.) Educational exhibitions (gallery, museum, archives, etc.) Video or film If needed, please provide additional details Your form will be submitted to Reference Services Staff at the Nova Scotia Archives. You will be contacted within five (5) business days regarding fees or other information required. The privacy rights of online visitors to the Nova Scotia Archives Web Site are fully protected by Nova Scotia's Freedom of Information and Protection of Privacy Act. Any personal information which the Nova Scotia Archives collects from researchers relates directly to operating programs such as Reference Services and Photocopying and Reprography Services. Such information is not used for any other purpose. To obtain access to or correct personal information you have submitted, use the contact form to send your request.