License Request

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Name* This field is required.First and Last name of Person Requesting the License This will appear on the license and invoice

First Name

Last Name

Job Title

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Name of Institution(If applicable)

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Phone Number* This field is required.of person Requesting the License This will appear on the license and invoice

Please enter a valid phone number.

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Email* This field is required.of person Requesting the License This will appear on the license and invoice

example@example.com

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Address* This field is required.of Institution or Requester of License that will appear on the invoice

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Are you requesting an Exhibition License or Reproduction License?* This field is required.Exhibition: the public presentation of an artist's work, solo exhibition, touring exhibition, group exhibition, permanent collection exhibition, performance presentation, exhibition of a reproduction, creation of a work in public, etc. Reproduction: an artwork in a cinematographic work, digital and electronic (internet, moving or fixed images on the internet, digital publication, digital media, social media, etc.), in Print (publication, cards, posters, calendar, billboards, banners, etc.) IMPORTANT NOTE: If you are requesting BOTH Exhibition and Reproduction Licenses, you will need to submit two requests (one for each). These licenses are issued separately.

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Dates of the Exhibition* This field is required.

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Venue or gallery of the exhibition* This field is required.

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What type of Exhibition?* This field is required.

Solo Exhibition

Group Exhibition

Exhibition of a Reproduction

Virtual Exhibition

Other type not listed (specify)

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Solo Exhibition: State the artist's name, artwork(s) and date(s) of creation* This field is required.Please add on separate lines Example: 1 Artist Name, Artwork 1, 2010 1 Artist Name, Artwork 2, 2012

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Group Exhibition: State the artists' names, artwork(s) and date(s) of creation* This field is required.Please add on separate lines Example: 1 Artist Name, Artwork 1, 2010 1 Artist Name, Artwork 2, 2012

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Exhibition of a Reproduction: State the artists' names, artwork(s) and date(s) of creation* This field is required.Please add on separate lines Example: 1 Artist Name, Artwork 1, 2010 1 Artist Name, Artwork 2, 2012

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Virtual Exhibition: State the artists' names, artwork(s) and date(s) of creation* This field is required.Please add on separate lines Example: 1 Artist Name, Artwork 1, 2010 1 Artist Name, Artwork 2, 2012

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Other Type: State the type of exhibition. Provide the artists' names, artwork(s) and date(s) of creation* This field is required.Please add on separate lines Example: 1 Artist Name, Artwork 1, 2010 1 Artist Name, Artwork 2, 2012

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What type of Reproduction?* This field is required.

Audio-Visual Reproduction

Digital and Electronic Reproduction (internet, moving or fixed images on the internet, social media, etc.)

Print Reproduction (publications, posters, banners, etc.)

Other type not listed (specify)

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What is the expected or estimated date of publication?* This field is required.

Date

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Audio-Visual Reproduction: State the artist(s) name, artwork(s) and date(s) of creation* This field is required.Please add different artists and artworks on separate lines Example: 1 Artist, Artwork 1, 2010 1 Artist, Artwork 2, 2012

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Digital and Electronic Reproduction: State the artists' names, artwork(s) and date(s) of creation* This field is required.Please add different artists and artworks on separate lines Example: 1 Artist Name, Artwork 1, 2010 1 Artist Name, Artwork 2, 2012

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Print Reproduction: State the artists' names, artwork(s) and date(s) of creation* This field is required.Please add different artists and artworks on separate lines Example: 1 Artist Name, Artwork 1, 2010 1 Artist Name, Artwork 2, 2012

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Is this reproduction for a book cover?* This field is required.

YESNO

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Is this reproduction for a monographic work?* This field is required.

YESNO

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Is this reproduction for advertisement purposes?* This field is required.

YESNO

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Is this reproduction for merchandise purposes?* This field is required.

YESNO

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Other Type: Specify the type of reproduction. State the artists' names, artwork(s) and date(s) of creation* This field is required.Please add different artists and artworks on separate lines Example: 1 Artist Name, Artwork 1, 2010 1 Artist Name, Artwork 2, 2012

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If available, please provide PDF document as supporting fileExample: Exhibition Catalogue, Interior pages of publication, Script for Audio-Visual Reproductions, etc. Please note that some societies or full-consult artists may request a layout of the reproduction prior to approval of the license.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

If you do not have any supporting file(s), please click NEXT.

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Additional InformationPlease provide any other relevant or applicable information for the license request. If you do not have any other information to supply, please click SUBMIT.

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Acknowledgement* This field is required.

I understand that it may take 5-10 business days to receive a reply

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Please verify that you are human* This field is required.