Microsoft Word - NYPL Permissions Application 6.13.11 New.doc
Enoch Pratt free Library
Image Request Form
Please remit this form to:
Special Collections Department
Enoch Pratt Free Library
Baltimore, MD 21201
Phone: 443-984-2451
Fax: 410-396-9537
Email: spc@
Name
Organization
Address
City State Zip
Phone Fax
Email
Images requested:
|Image Identifier no. (for existing |Title or Description, Author/Creator, Date, etc. |
|file) or Call no. | |
| | |
| |fds |
| |fda |
| | |
| | |
| | |
__Additional items (please attach list)
Use of images:
__Research __Display __Book/Periodical __Website __CD/DVD __Television or Motion picture
__Posters, calendars, pamphlets, postcards, fliers, etc. __Other:____________________________________________
Type of publication/use:
__Commercial __Non-profit or Government Use (e.g., 501(c)(3) or 501(c)(6)) __Personal Display __Research
Title of Publication/Project
Author/Creator
Title of Article (if appearing in a periodical or journal article)
Publisher or Producing Entity
Anticipated Date of Publication/Broadcast
Placement: __Interior __Cover Print run/no. of copies
Delivery method:
__Email or FTP __CD/DVD by regular mail
Please note:
▪ The standard images provided for publication are 600 ppi TIF files; however, resolution may vary depending on the size of the original item. Resolution of the image provided will never be less than 300 ppi.
▪ Prepayment by check is required for all orders.
▪ Turnaround time for orders requiring original scanning or digital photography is 2-4 weeks from receipt of prepayment. Turnaround time for orders of existing images is 1-2 weeks from receipt of prepayment.
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Copyright Notice: Title 17 of the United State Code governs the reproduction, distribution, display, performance, and creation of derivatives, of copyrighted material. Copyright resides with the author of a Work. The Enoch Pratt Free Library does not hold copyright to all of the original Works in its collection. Use of any images listed on this form which may be subject to copyright must first have written permission for use from the owner, heirs or assigns of the original material. Requesting and/or using any material in excess of fair use may make the user liable for copyright infringement.
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