Application for Use of Images and Archival Materials
Please direct all publication and reproduction requests to archives@moa.ubc.ca.
phone 604-822-4834 | fax 604.822.2974 | mail 6393 NW Marine Drive, Vancouver, BC V6T 1Z2
Requests will take approximately two to three weeks to process.
Date Requested_____________________

Date Required______________________________

Name______________________________

Affiliation__________________________________

Email______________________________

Address___________________________________

Phone_____________________________

Fax _______________________________________

Materials requested: Specify the MOA Object or Archives ID number(s) including fonds or collection
if known and/or give a detailed description to provide as much information as possible.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Intended use: Provide a detailed description of where and how the MOA object or image will be
published or reproduced including the size of the print run, if the image will be used on the cover, andthe type of online use including website address. Attach additional pages as necessary.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Fees to be paid in Canadian funds including tax when applicable by Visa, Mastercard, cheque,bank draft or money order upon receipt of invoice:
Use of Image/Object in Print Publication < 5,000 copies
Use of Image/Object in Print Publication > 5,000 copies
Front Cover of Publication
Electronic Use of Image/Object
Use of Personal Images of MOA Objects$100.00 per object, per use$200.00 per object, per use$200.00 per object, per use$150.00 per object, per use
half the respective rate above

Costs in addition to use fees
Supervision and/or movement of objects $75.00 per hour (minimum 2 hours)
Photography by contract photographer $75.00 per hourRequest for New Object Photographs
A new digital image of a MOA object may be requested. However, MOA reserves the right to reject
proposals that do not fall within its mandate, jeopardize the safety of the collections, or for which MOA
does not have adequate staff resources or equipment. To request new object photographs contact:orcall 604-827-4409 3 weeks prior to your deadline.
Conditions Governing Use
MOA restricts the use of its images for commercial purposes. Permission is granted for one-time use
only and reproduction is limited to the uses approved in this application. Images of objects, people orsettings may not be cropped or altered in any way without permission. MOA reserves the right to reject
proposals that do not fall within its mandate; subject the collections or the cultures from which theycome to misrepresentation or disrespect; or involve objects deemed to be sacred. The MOA does nothold copyright to all materials in its possession. In cases where MOA does not hold full copyright, it is
the responsibility of the applicant to obtain permission and to pay any fees to the copyright holder. In
photographs with identifiable people, it is the responsibility of the applicant to obtain written permission
to reproduce the image from those individuals. Depending on the nature of the request and the object(s)selected, MOA may also require the applicant to seek permission from the originating community. One
copy of the product or publication in which the reproduction is included must be provided to MOA whenfeasible.
CreditAll images must be identified as specified by MOA, including the phrase “Courtesy of UBC Museumof Anthropology, Vancouver, Canada.” When known, the fonds, collection, photographer, andarchival or object ID# must also be acknowledged.
Agreement
Sign and return by fax or email at least two weeks prior to desired delivery of digital image(s) orobject(s).
Applicant Signature_______________________________ Date__________________________APPLICATION APPROVALThis application is approved as per the use and terms outlined in the agreement.

_____________________________________
Authorized Signature___________________________
Date

Please retain one copy of this form for your records. Return one copy to:
Audrey & Harry Hawthorn Library & Archives
Museum of Anthropology
University of British Columbia6393 NW Marine Drive
Vancouver, BC, Canada V6T 1Z2
phone 604-822-4834 | fax 604-822-2974
archives@moa.ubc.ca
Your personal information is collected under the authority of section 26 (c) of the Freedom of Information and Protection ofPrivacy Act (FIPPA). This information will be used for internal administrative purposes to document our researchers.
Questions about the collection of this information may be directed to the MOA Research Manager and/or toarchives@moa.ubc.ca.