Reproductions request Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please fill out the following information to order and pay for images from the Imperial County Historical Society Pioneers' Museum. For Photos or Footage (Select all that apply) *PersonalPublication or public displayResearchCommercial use$25.00 per photo for personal use. $50.00 for photos used for publication and public display. ¢.25 per page for printed copies used for research purposes. Low resolution digital scans are $1 per page/image. Please contact the archivist for more details for use of moving images (film footage) and Audio for Commercial use $20/sec or Non-profit use $10/sec. Name *Company if applicableEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeReproduction Information *Fill in the following information about the type of reproduction requested: (List requested material catalog number, Title of publication or project, Date project will be released, and Name of Publisher or producer.Total number of images requestedPlease write the amount of images requestedReproduction request *Fill in the following information about the type of reproduction requested: Describe your project and cite the intended use(s) of the publication or project: Book Publication, Advertisement, Website/social media/blog, Performance, exhibit, News publication, moving image work, Lecture/tour, Display, other) Requested Material Catalog number(s) *Photo Payment: Please pay for your photos below. You will recieve a link with an email to download the photos within two business days. Square *CardName on CardTERMS AND CONDITIONS Privacy and Publicity Rights and Disclaimer: The issues of privacy and publicity related to the use of reproductions from the Imperial County Historical Society Pioneers’ Museum fall under the responsibility of the publisher or user of the reproductions. Attribution/Accreditation/Citation: Reproductions of materials from the Imperial County Historical Society Pioneers’ Museum archives will have the following caption for each image: [Image Title, date. Image Number], Courtesy, Imperial County Historical Society Pioneers’ Museum. Alteration and courtesy copy: Reproductions made from the Pioneers’ Museum archival collections may not be altered without written permission from the pioneers’ museum. When reproductions are published, one copy of the published work will be given to the Pioneers’ Museum. FEE SCHEDULE Private individuals, commercial purposes or non-profit organizations are subject to reproduction fees. Costs for reproduction of materials offsets time spent by Pioneers’ Museum staff and helps with preservation of the materials for future use. I have read, understand, and agree to this Agreement and to the Terms & Conditions stipulated above *Please check hereSignature Clear Signature Date and Time *Submit request