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RIGHTS & REPRODUCTION APPLICATION FORM
Instructions
All applications for rights and reproductions of Rhode Island Historical Society Collection must be submitted in writing. Please note: this is an application form only, the Graphics Division will acknowledge your application within 3 to 7 business days, with a formal quote. The Society requires payment of the quote before any order is processed, upon receipt of payment orders take two weeks to complete.

Mailing the form:
This form cannot be submitted online. Please print the form and attach photocopies of the images you are ordering and mail it to the Graphics Division at 121 Hope Street, Providence, RI, 02906. You may alternatively fax this form and the photocopies to the Graphics Division at (401) 274-6852. Applications are processed in the order in which they are received.


YOUR INFORMATION

First name:       Last name:

RIHS Membership #:

Business/Institutional Name:

If the research is on behalf of a business please enter their address, if you are a student please enter your current mailing address:

Street:

City/Province:      State:    

Country:      Postal/Zip Code:

E-mail Address:

Phone Number:      Fax number:

PUBLICATION INFORMATION:

Name of publisher/producer/distributor:

Intended use of images (research, publication, documentary, exhibit, office decor, etc.):

Type of publication/project (book, textbook, periodical, corporate report, film, advertisement, etc.):

Title and author/producer of publication:

Circulation/distribution:

Anticipated date of publication/project:

Items for application:

Neg # or Title and Collection Format of Reproduction Size of Reproduction


Text or graphics may not be copied, rewritten or distributed in any manner whatsoever unless specifically noted,
and may not be reused, reprinted, or reposted without written permission.

Rhode Island Historical Society Library, 121 Hope Street, Providence, RI 02906
Phone: (401) 273-8107 Fax: (401) 751-7930
Last Revised: January 30, 2008
Copyright © 2002