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
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Phone Number
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Email
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Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Image(s) requested
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First-time use or re-use:
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First-time use
Re-use
For-profit or non-profit
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For-profit
Non-profit
Intended use (check all that apply)
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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:
MM
/
DD
/
YYYY
Preferred method of image delivery
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Electronic
CD-R
DVD-R
Print
Additional information
Image Verification
Please enter the text from the image
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