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IMAGE REQUEST FORM


Thank you for your interest in an image from the Saint Louis Art Museum's collection.
Please fill out the following information in as much detail as possible. You can also download the form by clicking here, and return it by email (as an attachment), fax, or mail.
Email:
Fax:
Mail:
Image.Request@slam.org
314.721.6172
Saint Louis Art Museum
Attn: Photography & Image Rights Manager
One Fine Arts Drive, Forest Park
St. Louis, Missouri 63110
CONTACT INFORMATION
Name:
Email:
Organization:
Mailing Address:
Phone:
Fax:
IMAGE(S) REQUESTED
1. Artist
Title:
Object #
2. Artist
Title:
Object #
3. Artist
Title:
Object #
4. Artist
Title:
Object #
Please add any additional images to the end.
DESCRIPTION OF USE
Check all applicable:
Printed Publication Study or Personal use
Type:


Online Publication
     Scholarly or General Book Film/Video
     Textbook Press and Publicitiy for Exhibitions
     Children's Book Merchandise
     Exhibition Catalogue Lecture/Education Presentation
     Article for Scholarly Journal Other
    Article for Magazine Describe: 
     Other, describe:
PROJECT/PUBLICATION INFORMATION
Enter where applicable:
Project Title
Author/Director
Publisher/Producer
Website URL
Projected Publication Date / Production Date  
Print Run / Copies Distributed  
Distribution North America Worldwide Other
Language: Single Language Multilanguage
Retail Price
Will the images appear as: Cover Interior
At the size: Full page ½ Page ¼ Page Less than ¼ Page A4
In: Color Black and White
Do you already have an image? No Yes
If yes, images source
What size and resolution do you need?  
Do you plan to publish a detail? No Yes
If yes, describe:
Is this a first edition, second edition, or subsequent edition?  
Are you working with a deadline?  
Please list any additional information, details or additional image request information

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