Application for Permission to Use and Distribute Images and Film

Thank you for your interest in obtaining image(s) from the New Bedford Whaling Museum / Old Dartmouth Historical Society. Please review our licensing policies and complete the form below to request images for study or publication purposes. Allow up to 6 weeks for us to process your request.

Images acquired for study purposes may not be reproduced without a separate written agreement. Images will be delivered to applicant in the form of a high-res TIFF or JPG, as fits the project.

Return completed form to: New Bedford Whaling Museum, 18 Johnny Cake Hill, New Bedford, MA, 02740, attn. Rights & Reproductions, or email to imagerequest@whalingmuseum.org

Image Request

Request Type

Reproduction (book, print, exhibit display, etc)

Web

Video/TV

Study/Other

Is the project

non-profit

for profit

Requester's Email

First Name

Last Name

Organization

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Accession number and description of each individual object, photograph, or film footage requested.

For Publication Request

Publisher/Production Company

Type (book, journal, magazine, e-book, etc.)

Title

Author(s)/Editor(s)

Reproduction territory (country/continent)

or, World-wide

Language

Print-run

Anticipated date of publication

Cover or interior use

detail requested?

Yes

For Web request

Intended use

Title

Website

Anticipated date of publication

for Film/video request

Title of project

Format (television, film, YouTube, etc)

Anticipated date of broadcast/release

Publisher/Production Company

Distribution (for movies and TV only): territory (country/continent):

or, World-wide

For Exhibition request

Title of exhibition

Host institution(s)/organizer

Project curator

Dates of exhibition

How images will be reproduced (list intended size and if they will be cropped)

Other

Please Describe