Request for filming or photography

APPLICANT: *
^{Name and surname / denomination}

EMAIL: *
^{Address for contacts}

TELEPHONE: *
^{Landline or mobile (with international area code if not Italian)}

ADDRESS: *
^{Street, number, city, country}

REQUEST FOR THE PERMISSION TO: *
FilmPhotograph

OF THE FOLLOWING SPACES/WORKS: *
^{Please, specify venues and rooms}

^{If you wish to reproduce images of specific works, please fill the form of the Photographic Archive>>>}

BRIEF DESCRIPTION OF THE PROJECT: *

^{Please, attach more details (if possible)}

EXTIMATED TITLE:

TYPES OF USE: *
Commercial (home video market, advertisemenet, etc.)Study/personalScientific / educational / artisticPress (newspapers, tv, web)Broadcast / feature film / webcastOther (please, specify in the following field)

COMPANY / BROADCASTER: *

DISTRIBUTION:

QUANTITY:

CHANNEL OF DISTRIBUTION:

DATES OF PROJECTION / DISTRIBUTION:

FILMING DETAILS: *
On museum closing timeDuring museum opening times
DESIDERED PERIOD / DATES: *

TIME:*
^{Please, specify hours in the format "from...to...."}
DURATION: *

NUMBER OF PEOPLE PART OF THE TEAM: *

TECHNICAL EQUIPMENT: *

^{Please, attach technical details (if available)}

ELECTRICAL REQUIREMENTS: *
NoYes (please, specify KW and socket type needed)

^{NB: all additional costs will be counted separately}

NOTES:

INVOICE HEADING: *
^{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}

INVOICE 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.}

Fondazione Musei Civici di Venezia | MUVE