Application form Photographic Archive

IMAGES REQUEST – PERMISSION TO PUBLISH

Request of images of works belonging to the Musei Civici di Venezia.

* Mandatory fields

APPLICANT: *
Name and surname / denomination

EMAIL: *
Address for contacts and image delivery
TELEPHONE: *
Landline or mobile (with international area code if not Italian)

ADDRESS: *
Street, number, city, country
NB: COMMUNICATION, IMAGE DELIVERY AND/OR AUTHORIZATION FOR PUBLISHING WILL BE CARRIED OUT VIA EMAIL TO THE ADDRESS GIVEN

REQUEST FOR THE FOLLOWING IMAGES: *
Specify author, subject, title, inventory number, or location
REQUEST OF: *
 Digital files Publishing authorization Digital files and publishing authorization
IMAGE FORMAT: *
Please, select the format desired, or the last choice for publishing authorization only
 Q = 1,5 MB - saved compressed in JPG (only for reproduction of librarian works sized under A3) Light = open file 3 MB - saved compressed in JPG (recommended for personal purposes) Medium = file 30/40 MB - saved not-compressed in TIF (recommended for publishing) Digital files not requested

PURPOSE OF THE REQUEST: *
 Personal Commercial Scientific and/or cultural Free distribution Other purpose (please, indicate it)

OTHER PURPOSE:
Indicate the purpose of your request in case you selected "Othe purpose"

AUTHORIZATION TO PUBLISH:

PUBLICATION TITLE: *
Please, give the title expected (in case of image request only, fill in with an "X")

PRINT RUN: *
Please, give the number estimated (in case of image request only, fill in with an "X")

EDITOR AND PLACE OF PUBLICATION: *
Mandatory field only in case of publishing authorization

BILL TO: *
Please, give the billing name (even if it corresponds to the "Applicant")
VAT NUMBER / TAX CODE: *
Please, give the VAT or NIN for the customer
BILLING ADDRESS: *
Please, give the the address of the customer (even if it corresponds to the "Address of the Applicant")
Privacy:*
Briefing art. 13 D.Lgs. 196/2003. Please note that the personal information requested is used exclusively for institutional purposes and the general management of the artistic patrimony. In no way will it be given to any third party. The processing of the data for the compilation, up-dating and transmission of the statistics regarding the extent and composition of the users will be done anonymously. The contribution of the aforementioned information is obligatory as it is necessary for the protection of the artistic patrimony and rights of the Foundation. Refusal to do so will make it impossible to allow the service requested. This processing is done by the Foundation in an appropriate way that guarantees both security and confidentiality, and may involve the use of manual and/or digital recordings to stock and manage information. Those involved may avail themselves of the rights as stated in art. 7 of D.Lgs 196/2003 regarding the holder of the treatment "Fondazione Musei Civici di Venezia" S.Marco 52 - 30124 Venezia.