Rights and Reproduction Form

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For Works of Art:
The Art Museum of South Texas administers copyright permissions for all Dorothy Hood artworks in our collection. All reproduction requests must be submitted through our online form.

For Archival Materials:
Contact the librarian at the University of Houston Libraries Special Collection at 713.743.9750. Reproduction decisions will be made by Special Collections staff on a case-by-case basis.

Rights and Reproductions Form

Name *

First

Last

Title

Company

Address Line 1

Address Line 2

City

State

Zipcode

Work Phone Number

Email *

Phone Number

Licensee *

Same as Main Contact
Other (Enter Below)

*Licensee is the institution or individual who is licensing the work or works.

Licensee Name

First

Last

Licensee Email

Licensee Phone Number

Licensee Title and Company

Signatory *

Same as Main Contact
Other (Enter Below)

*Signatory is the person who will be responsible for signing the appropriate paperwork with AMST

Signatory Name

First

Last

Signatory Email

Signatory Phone Number

Signatory Title and Company

Will this reproduction be commercial or noncommercial use?

Commercial
Non Commercial

Works requested: Title, date, medium, and if available, dimensions

if more than one, separate by comma

Are you requesting high resolution images?

Will this request result in a physical object?

Description of use

Format

Title of Publication or Product

Languages

if more than one, separate by comma

Sales price, if applicable

Date of Publication or Production

Deadline for receiving license

Is there any additional information or context about this request that you would like to provide?

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