RIGHTS
APPLICATION
Application
for Permission to Publish and Authorization to Reproduce
Photographic
Materials of
Date
Name: Title:
Organization:
Address (city,
state, zip):
Telephone: Email:
ARTWORK REQUESTED
1. o digital
.jpg or .tif
2.
_____________________________________________________ o color
4x5 trans. o digital .jpg or .tif (please specify) o Re-Use 3. _____________________________________________________ o color
4x5 trans. o digital .jpg or .tif (please specify) o Re-Use
4. _____________________________________________________ o color 4x5 trans. o digital .jpg or .tif (please
specify) o Re-Use
5.
Describe in detail the project for which the image(s)
will be used and the intended use:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
REPRODUCTION RIGHTS DESIRED (MUST CHECK ONE; ONE-TIME USE ONLY)
o North
American Rights o World Rights
Title:_____________________________________________________Author:__________________________________
Publisher/Address:_________________________________________________________________________________
Expected date
of publication, volume, year:_____________________________________________________________
Check all that apply: o Advertising o Book o Periodical o
Dissertation o Textbook o CDROM
o
Exhibition catalog oWebsite:
address:_______________________________________________________________
o Video o Film oOther____________________________________________________
RUSH ORDERS ONLY (check
all that apply):
o PLEASE RUSH ORDER. Apply applicable fees. Date needed by:______________________________________
o Federal Express materials o Charge
my Fed-ex account #:____________________________________________
Requests for permission
to reproduce an image for publication must be made in writing and include the
intended use, the publisher, title of the publication, and expected date of
publication.
The full credit line exactly
as supplied by
All negatives, digital
images, slides, photographs and color transparencies provided by
Each image must be
reproduced unaltered and in its entirety unless approved in writing by
Failure to pay the
required fees for reproduction means that permission has not been granted.
Upon date of
publication, the publisher is to provide
If so requested, a proof
must be approved by
This permission is valid
only for the individual, company, or institution to which it is specifically
issued and may not be transferred, assigned, sold, or otherwise disposed of
without
Certain works of art owned by
Brookgreen Gardens makes
no warranties or representations and assumes no responsibility whatsoever for
any claims against applicant or the Museum by the artists, their agents,
estates, or by any parties in connection with the reproduction of works of art
in the collection of Brookgreen Gardens. The applicant agrees to indemnify Brookgreen
Gardens and hold it harmless against any and all such claims, including copyright
infringement claims, royalty or fee demands and/or actions, including the costs
thereof arising as a result of the applicant's reproduction of the works of art
in Brookgreen Gardens.
I have read and agree to the above conditions and agree
to promptly pay all applicable fees.
Signature of
application:_________________________________________________________Date:__________________
Approved:____________________________________________________________________Date:_________________
SEE IMAGE FOR PROPER CREDIT LINE INFORMATION
If approved,
a countersigned copy will be returned to you with an invoice. Photography will be mailed upon receipt of
all applicable fees. If website or
filming applicant, a subsequent license for web-use or filming will be issued
upon approval along with the invoice.
SEND COMPLETED APPLICATION TO:
(843)235-6000