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Vittoriano
Altar of the Fatherland
Central Museum of the Risorgimento
Panoramic Terrace
Imperial Forums Wing
Palazzo Venezia
Archaeology and Art History Library
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School
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In the Center of Rome
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Application form for the release of photographic and video reproductions of the Archive for non-profit promotion
Name *
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having read and accepted the Regulations, ask
For itself
On behalf of others
University/Publishing house/Company/Other
Address
Street address
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asks for the licence to use:
Photographic reproductions black and white
Photographic reproductions in colour
Videos
of the following site (s):
and/or of the following work (s):
Location
Author / Place / Time
Subject
Title
Inventory No.
No. of negative
Slide No.
Digital File No.
For the following non-profit promotion purposes:
Scientific publication
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Volume
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Catalogue (exhibitions, cultural events, etc...)
Magazine
Author / Editor *
Title *
Publisher *
N. of copies *
Price (approximate) *
Open access *
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No
Exhibitions or cultural events
Title *
Time frame
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Other
he/she undertakes not to use the image thus obtained in any other way, except after having made an explicit request and having paid the due fees
and authorizes VIVE to use these personal data exclusively for the purpose of processing this application.
