Reproduction request

Inv.Nr.: L/1 Seal of the Chapter

Salutation
Academic title
Name
Surname
Company
E-mail *
Phone
Fax
Billing address
Street
City
ZIP Code
Country
Inv.Nr. *
Object name
Artist
 Private use
 Publication
Type of usage
eg. Book (Exhibition catalogue, photo book, periodical, travel guide, school book, paperback), magazine (Trade publication, program booklet, members' magazine, event booklet), daily / weekly news publication, calendar, postcards, scientific publication (Thesis, dissertation, scientific article, research report, research publication, habilitation treatise), poster, wall panel in an exhibition, brochure, packaging, website, film and television
Product title
Languages used
Quantity
Duration of usage
Duration of visibility (film)
Format (A4, A5, etc.)
Notes