Photography and Filming Project Request Form
Applicant Information
Name
*
First Name
Last Name
Company (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Billing Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Project Detail
Project date and time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Please provide a detailed description of the project.
*
What Strawbery Banke Museum location(s) are you requesting for this project?
*
If you wish to photograph or film specific objects at Strawbery Banke Museum, please list them.
*
Please list the names of Strawbery Banke Museum staff members that you wish to interview, photograph, and/or film. If you do not have specific names, please describe what types of expertise for which you are looking.
*
How much time in the museum or with the requested staff do you anticipate will be required? Please include set-up and break down.
*
What equipment will the crew bring? How many members in the crew? Please include the number and types of lights and total wattage to be used.
*
What are the proposed uses of the photograph or film? Please include all languages.
*
Will the photographs or film footage be used for commercial purposes? If yes, please provide detail
*
What is the scheduled publishing date, air date(s), or issue date?
*
Fees
Strawbery Banke Museum charges site fees for all filming and photography intended for commercial purposes. Site fees may also be charged for using the Museum as a setting for other projects that are not considered personal snapshots or editorial coverage by the press. Site fees vary based on the details of each project.
Agreement
I have read and understand the terms and conditions set forth in the Strawbery Banke Museum Photography and Filming Policy, and agree to abide by them. I also understand that this Application constitutes a contract by and between myself or my company/organization and Strawbery Banke Museum, and that any dispute or claim arising out of this agreement shall be subject to the laws of the State of New Hampshire and shall be settled through the New Hampshire court system or other dispute resolution means to be chosen by Strawbery Banke Museum.
Signature
*
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: