EmailMe Form - Image Use Request Form

Image Use Request Form
The Boston Art Commission provides digital prints or scans of the images from its collection of over 500 objects for educational, commercial or personal use. Images from the collection may not be reproduced without the written consent of Boston Art Commission. Permission is granted for one time, non-exclusive use of the material. Any reproduction or subsequent use of the provided copies is prohibited without the express written permission of the Art Commission and payment of additional use fees. Materials used for exhibition, publication, or broadcast must be credited to the Boston Art Commission.

Upon receipt of your order, we will email you written estimate for your approval and payment. Payment must be received before any service is rendered. Rights are not granted in perpetuity, but for life of single project.

Organization Name

Contact Name *

Phone Number *

###

####

Email *

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Image(s) requested *

First-time use or re-use: *

First-time use

Re-use

For-profit or non-profit *

For-profit

Non-profit

Intended use (check all that apply) *

Article/Journal

Book

E-book

Exhibition

Book cover

DVD

Broadcast program

Website

Research only

Mural in public space

Other

Title of publication/exhibition: *

Please write "n/a" if your project does not have a title

Author and publisher (if applicable)

Press run (if applicable)

# of copies

Film/Broadcast use (if applicable)

DVD for commercial resale

Television broadcast

Internet/Website use (if applicable)

Less than one month

Less than six months

Six months or more

Expected Publish/Release Date:

YYYY

Preferred method of image delivery *

Electronic

CD-R

DVD-R

Additional information

Image Verification
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