Albuquerque Museum Image Use Request Form Please review the Terms and Conditions of Use page before filling out this form. We grant permission to reproduce images in our collections on a one-time basis, and all image requests require completion of this form. Albuquerque Museum does not own copyright for every collection item, makes no representation of exclusive ownership of the rights to any image, grants no exclusive rights to anyone, and assumes no responsibility for unauthorized duplication. In most cases we provide this service for free. However, fees and reproduction costs may be applied depending on the nature of the request. Museum staff will notify you if any use fees apply to your request. Payments can be made by cash or credit card at the museum admissions desk, or checks may be made out to “Albuquerque Museum” and mailed to: Albuquerque MuseumAttn: Image Use Requests2000 Mountain Road NWAlbuquerque, NM 87104 Orders will be filled upon receipt of payment, use fees are non-refundable. This request is for one-time use of the materials listed in the Object Information Section of this form. Subsequent use requires reapplication. Fields with a red dot ⏺ are mandatory. Applicant Information Applicant's Name Institution/Affiliation Please enter "n/a" if this does not apply. City State Zip Phone Number Please include area code. For example 505-500-5000. Applicant Email Collection(s) requested: Art Casa San Ysidro History Photo Archives Select all that apply Project Type: Media Non-revenue generating/Research Revenue generating Select all that apply Object Information - Art and History Provide the following information for each object: Object 1 Artist Title Date Medium Dimensions PC Number Revenue Generating Requests If you selected Revenue Generating in the Project Type question above, please fill out this section. Otherwise, skip. Indicate Use Types Display (Businesses / Offices / Exhibitions / Presentations / Slide Shows / etc.) Graphics (Advertisements / Billboards / Logos / Menus / etc.) Publication, Print (Book / Book Jacket / Magazine / Periodical / Report / etc.) Publication, Media (Film / Social Media / Television / Video / etc.) Other Select all that apply Other - Please Describe If you selected "Other" in the question above, please describe. Publication - Please Provide the Following If you selected "Publication, Print or Publication, Media" in the previous question, please provide the following. Title Publisher/Producer Address Contact Email Contact Phone Please include area code. For example 505-500-5000. Fax Release Date Circulation Use Fees may apply. Fees may apply. Two copies of the resulting product will be requested from the applicant as a condition of use. Terms and Conditions By selecting this checkbox, you agree to defend, indemnify, and hold harmless Albuquerque Museum, the City of Albuquerque, its Officials, Agents, and Employees from and against any and all claims, actions suits, or proceedings of any kind brought against said parties for or on account of any matter, including copyright violation, arising from the use of photographs obtained from Albuquerque Museum for the intended publication. I have read, understand, and agree to comply with the Terms & Conditions of Use Captcha Submit Please confirm all required fields are populated before submitting your form. Fields with a red dot ⏺ are mandatory. Your form is not submitted until you click the Submit button and see the confirmation page which includes a recap of your completed form fields. This information is sent directly to a curator.
