Copyright Application Form 1 In accordance with the international laws on Intellectual property, Copyright consent must be formally obtained in writing for the reproduction of any Dame Laura Knight or her husband Harold Knight RA works from the Estate of Dame Laura Knight DBE RA RWS. To obtain consent for the reproduction of Dame Laura Knight and/or Harold Knight, this Application Form must be completed and submitted to Bridgeman Art Library, London on behalf of The Trustees of the Estate of Dame Laura Knight. Fields marked with an * are mandatory and where not applicable, such areas should not be left blank, but N/A should be typed in. APPLICANTS MUST COMPLETE ALL 8 NUMBERED SECTIONS. 1. Applicant's details: a. Company/Organisation/Body Name: * b. For Attention of: * c. Postal address: * d. Post/ZIP Code: * e. Country: * f. Email address: * g. Telephone number: * 2. Source: Image Suppliers' Email address: * 3. Consent Please indicate which works require consent. Mark a field as N/A if not applicable. a. Laura Knight work title(s) on which consent is required: * b. Harold Knight work title(s) on which consent is required: * 4. Proposed size of reproduced works: * If more than 10 items are to be listed, please send the list in a separate email using our contact page. 5. Image to be cropped: * YesNo Examples of any proposed cropping must be separately supplied by email 6. Image to be overwritten: * YesNo Examples of any proposed overwriting must be separately supplied by email 7. Purpose for reproduction of works: * ie. to publicise/promote particular events; to illustrate or accompany examples 8. Image Media Please complete one of more of the categories below. When completing 8a please complete every line entering 0 where none required. a. Book(s)/Catalogue(s): Title Image(s) within book or as cover Author Publisher/Printer Proposed publication date Hardback Softback Digital Proposed Print Run/Download If Re-Issue, enter last issue no., and Consent Ref. Recommended Retail Price Language Distribution UKEUAmericasFar EastAustralasiaWorldwide b. Magazine/Newspaper Article(s) and or Press publicity: - Magazine/Newspaper Title - Author of article - Article Title - Publication/Issue date - Language c. Other Printed Matter: Product Number Recommended Retail Price Printer Post Cards Greetings Cards Seasonal Cards Calendars Sketch/Note Pads Diaries Posters Catalogues Packaging/Boxes Cartons Record or Disc Sleeves Other d. Exhibition media: To include Backdrops, Invitation Cards, Banners, etc. Please elaborate and identify quantities. e. Advertising media: To include Leaflets, etc. Please elaborate and identify quantities. f. Merchandise: Product Manufacturer Number Recommended Retail Price Mugs Plates and other ceramics Refrigerator Magnets Jigsaws Banners Other g. Television - Film Please elaborate with details. h. Should you wish to add any essential point not covered above, please advise here. Tick to confirm all relevant parts of section 8 are complete. * Please double check your application and tick the box to confirm the information is correct. Upon completion a copy of the application will be sent to your inbox. Tick to confirm. * Alternatively, if you have problems submitting this form, or wish a copy to be sent by post: Postal address: Bridgeman Art Library, London on behalf of The Trustees of the Estate of Dame Laura Knight