Photoshoot Request

Name

First
Last

Company/Organization

Phone*

Mobile Phone

Email*

Address

Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code

Country

Proposed Date(s) of Shoot*

Proposed Start Time*

Proposed End Time*

Date Flexible

Yes
No

Alternate Dates?

Proposed Shoot Locations*

select all that apply

Hotel Room(s)
Restaurant/bar Space
Gallery Space
Exterior Space

Intended Use of Images*

select all that apply

Describe Other Intended Use:

Intended Image Distribution

select all that apply

Print
Web
Video
Other

Describe Other Intended Image Distribution:

What equipment do you plan to bring?

How many people will be onsite during shoot?

On-site contact and cell number

if different than organizer

Have you held an event at 21c or Proof in the past? If so, when?

Additional information

any details we should be aware of

How did you hear about 21c?*

Would you like to join our mailing list?

21c Museum Hotels: development news, growth annoucencements and more
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By submitting this request, you are agreeing to the Terms and Limitations set forth by within 21c Museum Hotel and/or Proof on Main Restaurant, each with an address of 700 West Main Street, Louisville, KY (collectively, “21c/Proof”), including: *

• You assume responsibility for compliance with all intellectual property laws, including federal copyright law. In most cases, 21c/Proof does not own the copyright to the works of art on display within the 21c/Proof building and cannot grant you the right to reproduce the work. Consult your attorney if you are unsure about whether your photographs comply with intellectual property laws. • You agree to reimburse 21c/Proof for any losses incurred as a result of your violation of copyright or other laws arising from the use of photographs taken within 21c/Proof. • Your photographs must not be used to disparage 21c/Proof or cast it in a negative light, or accompany any written article or other publication that does so.

Agree

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