Order form for visual material

Only fully completed requests will be processed. All fields marked with an asterisk must be completed. Costs of this material can be found in the price list

Company/institution
Contact *
Address *
Postal code + City * Country *
Telephone number *
E-mail address *
Billing address if different from above VAT number
Description of how the image will be used *

Publication Website Poster Picture postcard Other, for example:

Print run * Dimensions Use of the image Author Title Date of publication Language Remarks

How do you want to receive the image(s)?* *
Image(s) required

Image 1

Artist/maker * Title of work * Inventary number Remarks

add image

NB:
Please be aware that not all visual materials are exempt from reproduction rights. The user must contact Pictoright in The Netherlands or the appropriate copyright holder to arrange copyright clearance.

Please send a copy of the publication in which the image is used to:
Museum Boijmans Van Beuningen
Library
PO BOX 2277
NL-3000 CG Rotterdam
The Netherlands

I agree with the terms of delivery (opens in new window)

Submit Print order (for personal reference)

Order form for visual material

Image 1

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