Order/License Photos or Audiovisual Materials

See Terms and Conditions and Fee Schedule Complete this form and click the Submit button. A signature-ready form will be e-mailed to you, along with an invoice. Return the signed form with your payment to the address on the invoice. Your order will be processed upon receipt of payment and the signed form. For licensing requests, the form will be countersigned by an agent of JDC Archives and returned to you. Please complete in English only.
*	First Name:
*	Last Name:
*	Email:
	Street:
	City:
	State/Province:
	Zip/Postal Code:
*	Country:
	Phone Number:
*	Researcher/User Type:
*	Purpose:

	Description of photos and photo numbers (NY_xxxxx) or AV title and clip timecodes where relevant/known, or other request:
*

*	Resolution:
*	Type of Request:
*	Intended use of Information:
	Size of Print Run or Circulation:
	Duration of Exhibit:
	Title / Description of Project :


*	Geographic Area of Interest:
	Period to be Researched (date):
	I am authorized to enter into this agreement on behalf of the following company/organization:
	Company/ Organization Name:
	Address:
	I would like to receive JDC Archives eNewsLetters.