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Permission Request Form

The Permissions Request Form must be submitted by the person requesting the image(s) for use and the person responsible for ensuring that the use conforms to the conditions stated in the Conditions for Reproduction/Publication policy.

Upon receipt of your Permissions Request Form, Photo Archives staff will respond with fees due. Once full payment has been received, a letter will be returned to you granting permission to use the image(s).

Payment: Orders will be processed once payment is received. Please make checks payable to "State of New Mexico." Credit card orders (Visa, Mastercard and American Express) are only accepted via phone. Institutions and businesses can request billing.

Your Information:
* Name of Applicant:
Organization or Company:
* Address:
* City, State, Zip:
* Telephone:
* Email:
* Confirm Email:
 
Description of Your Project:
* Author(s)/Creator(s):
* Title:
* Publisher/Sponsor:
* Publication Date:
* Nature of Project: Book/ E-Book
Book Jacket
Periodical
Exhibition
TV/Video/Film
Brochure, pamphlet, ephemera
Internet/Website
Other
If other, please explain:

Total print run (downloads, if E-Book), if applicable:
* Negative numbers for which permission is being requested:
(please enter one number per line)

Statement of Responsibility: I certify that the information on this form is correct and I accept the conditions for reproduction/publication. I am authorized to enter into this agreement on behalf of the above named organization.

 I have read the Conditions for Reproduction/Publication and agree to them.

Questions?   Phone: (505) 476 -5026       Email: PhotoArchives@state.nm.us