Application form for authorisation for the creation and the use of photographic and video reproductions for profit

Il/La sottoscritto/a *
Having read and accepted our Regulations; *
Address
alla ripresa e all'utilizzo a fini di lucro di: *
realizzate da: *
Address
With the following equipment: *
of the following site (s): *
and/or of the following work (s): *
Opera 2:
Opera 3:
aggiungi un’altra opera alla richiesta
For the following reasons: *
Tipologia di pubblicazione
Derivative uses
Tipologia di pubblicazione
In the following places: