Kheel Center
Digital Reproduction Order
Tel.
607-255-3183 Fax.
607-255-9641
All reproduction orders
acknowledge that copyright compliance is the user’s responsibility. Images are available for scholarly,
educational, and artistic use. No use
in advertising is permitted. Orders
must be accompanied by a completed Photograph
Duplication and Use Agreement. An
invoice will be sent upon receipt of the order.
Payment must be received before any order will be processed and should
be made in US currency by credit card, money order, or by check made out to
Cornell University. Delivery is normally within 3 weeks of receipt of payment.
Please
Print
Name _______________________________________________________________________
Address ________________________________________________________________________________
City, State/Province, Postal code
___________________________________________________________
Country ________ Phone __________________ Fax _________________ Email ____________________
Organization Represented ________________________________________________________________
___Scholar
___Commercial ___Not for Profit (Must
attach valid Exempt Organization Certificate to qualify)
The
intended use of these items:
___Personal use or
private display. They will not be published or publicly displayed in any format
at any time.
___Publication DIGITAL
DISTRIBUTION IS NOT ALLOWED IN ANY MEDIUM WITHOUT WRITTEN PERMISSION
Format:
___Book ___Journal ___Newspaper ___Film/Video
___Exhibition Other _____________
Author/Artist/Producer ___________________________________________________________________
Title of work_________________________________________________________________________
Publisher____________________________________________________________________________
Digital
reproductions: Resolution: Up to 1200ppi native
scan File Types: jpg, tif, psd, gif
Image
ID, brief description, and reproduction needs (one item per line)
|
Photo ID From
database |
Brief Description |
Resolution |
File Type |
Repro. fee |
Use fee (office use) |
|
|
|
|
|
|
|
Delivery: ___Will pick up on CD
___US Mail on CD (add
$10) ___UPS-your account#_______________
___ email (up to 4 jpg files may be sent without additional
charge) to: ___________________________
Signature ________________________________________________ Date___________________________
Return completed form by fax (607-255-9641) or mail
to Kheel Center, 227 Ives Hall, Cornell University, Ithaca NY 14853