Consultation / Research Request / Image Order Form /
Image Reproduction & Other Fees /Conditions of Use & Copyright Notice
Tile Heritage Foundation Research Library & Archives
RESEARCH REQUEST
Name: _____________________________________________________________________
Company/Organization: ________________________________________________________
Address: ___________________________________________________________________
City/State/Zip: _______________________________________________________________
Phone: _________________________________ Fax: _______________________________
Email: _____________________________________________________________________
ARCHIVE RETRIEVAL FEE. A fee of $20 is charged when the documents requested are readily available from
the THF Library and no research is required. Includes up to five (5) photocopies and mailing at no charge.
INITIAL RESEARCH FEE. The initial fee for research is $50. This fee will pay for up to one hour of research
by THF staff, up to ten (10) photocopies, and shipping. Please note that there is no guarantee that information will be
found. The fee covers the cost of providing the service.
ADDITIONAL RESEARCH FEES beyond the initial request:
$40 per hour (charged in half hour increments).
$0.50 per photocopy (plus tax), and $7.00 for shipping.
If additional research is required for your request, would you like us to:
[ ] Notify you prior to proceeding
[ ] Proceed with a limit of $ ________
[ ] Other (explain):
I authorize the above specified additional research (signature required).
Signature:_______________________________________ Date:______________
RESEARCH REQUESTED
Please be specific. List full names, places, dates, etc. Use back of page if
additional room is necessary.
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Make your check payable to: Tile Heritage Foundation. Please be sure to return this form with your check.
You may also pay by credit card: Visa, Mastercard or Discover.
Do not email your credit card number.
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration: _____/_____
Signature: ___________________________________________________________
Research requests will only be processed upon receipt of both this form & your payment.
Tile Heritage Foundation, P. O. Box 1850, Healdsburg, CA 95448
Phone: 707 431-8453. Fax: 707 431-8455.
Email: foundation@tileheritage.org (for inquiries only)
Consultation
/ Research Request / Image Order Form / Image Reproduction & Other Fees /Conditions of Use & Copyright Notice/ Back to Top
Tile Heritage Foundation Photo and Slide Collection
IMAGE ORDER FORM.
Contract #_________________________(THF use only)
Name: _____________________________________________________________________
Company/Organization: ________________________________________________________
Address: ___________________________________________________________________
City/State/Zip: _______________________________________________________________
Phone: _______________________________ Fax: _________________________________
Email: _____________________________________________________________________
INTENDED USE OF MATERIAL:
___ Personal research and will not be copied, reproduced, or publicly displayed.
___ Public display at: __________________________________________________________
___ Reproduction:
Author/Publisher/Director/Producer: ____________________________________________________________
Title or description of use: ____________________________________________________________________
Publisher: ________________________________________________________________________________
Projected date of publication: _________________________________________________________________
Format: _____________ Number of copies or size of market _____________
Statement of responsibility: I certify that the information on this form is correct and I accept the conditions of use.
I am authorized to enter into this agreement on behalf of the above named organization.
Signature of Applicant: ______________________________________________ Date: __________________
MATERIAL REQUESTED (Payment in full required before order will be processed)
Image description: Quantity/ Size/ Cost
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
For scan request: dpi: _____; size (in inches) _________. Mac or PC (circle one). ___ Email (if under 3 mb)
Ship via: ___ US Priority Mail. ___ UPS. ___ FedEx (Acct. # _____________________________________).
Total amount: _____________.
Make your check payable to: Tile Heritage Foundation.
You may also pay by credit card: Visa, Mastercard or Discover. Do not email your credit card number.
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration: _____/_____
Signature: ___________________________________________________________
Image requests will only be processed upon receipt of both this form & your payment.
Tile Heritage Foundation, P. O. Box 1850, Healdsburg, CA 95448
Phone: 707 431-8453. Fax: 707 431-8455.
Email: foundation@tileheritage.org (for inquiries only)
Consultation
/ Research Request / Image Order Form / Image Reproduction & Other Fees /Conditions of Use & Copyright Notice/ Back to Top
Tile Heritage Foundation Photo and Slide Collection
REPRODUCTIONS
When ordering reproductions, please include appropriate identification numbers (when applicable), published
references, photocopies (if available) and any other information that will assist us in identifying the specific image
you want. Please state the intended use of each image when ordering (see Image Order Form).
Photographic reproductions are sold for personal reference use only and may not be displayed or published without
payment of appropriate fees. All responsibility for questions of copyright that may arise in copying and in use of the
copies must be assumed by the user. Fees do not include state sales tax or shipping charges.
Tile Heritage member discounts apply: 20-25%. All sales are final.