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Request for Film, Television or Mobile App Use
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I confirm this is a request of images for use in film (broadcast or television), or for inclusion in a mobile application. See
conditions for general use
.
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We are a non-profit organization (academic institution, museum, USA 501(c)(3)-501(c)(4) nonprofit or international equivalent organization.)
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Requested Photographs or Archive Objects
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Artist name
CCP accession number
Image title and date
Service needed
Scan only (written permission of copyright holder required)
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Add item
Artist name
CCP accession number
Image title and date
Service needed
Scan only (written permission of copyright holder required)
Permission only (source of scan must be noted in “Other Information”)
Scan and Permission (CCP-owned or managed copyrights only)
Add item
Artist name
CCP accession number
Image title and date
Service needed
Scan only (written permission of copyright holder required)
Permission only (source of scan must be noted in “Other Information”)
Scan and Permission (CCP-owned or managed copyrights only)
Image list
If you are requesting many images, please add your image list.
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2 MB
.
Allowed file types:
gif jpg jpeg png txt rtf pdf doc docx ppt pptx xls xlsx
.
Film Project Details
Project title
Please enter your project title and/or the title of the program.
Scheduled airing date and time
Total length of program
Producer
Type of use
Broadcast television
Cable television
Theatrical presentation
DVD
Video on demand
Streaming
Other
If you selected other above, please specify your type of use here:
Additional use details
Provide any additional information about the use such as what network the film would be broadcast on, what channel, planned quantities of DVDs, etc.
Language(s)
Film distribution market
North America
Europe
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World
Mobile App Project Details
Publisher
Title
Distribution channel(s)
Google Play
Apple App Store
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Amazon Appstore
Other
If you selected other above, please specify your distribution channel here:
Market term
2 years
3 years
5 years
Other
If you selected other above, please specify your market term here:
Anticipated sales quantity
Retail price
$
Preferred date of delivery
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2022
2023
2024
2025
2026
Year
Does
not
guarantee your schedule can be met.
Other relevant documents/images
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png txt rtf pdf doc docx ppt pptx xls xlsx
.
Other information
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