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PLEASE SEND AT OUR EXPENSE __________ GLOSSY PHOTOGRAPHS of the work, preferably 8 x 10 inches, or state where photographs may be obtained: ____________________

NOTE: Unless we are notified in writing to the contrary, it is understood that this loan may be photographed and reproduced for publicity purposes connected with this exhibition, that slides of it may be made and distributed for educational purposes, and photographs of it may be used for non-commercial television programs.

Will you permit photographs to be made for scholars in educational institutions for research, if it is clearly understood that permission must be obtained from the lender to reproduce the work? Yes

Will you permit the work to be reproduced in color? Yes

Are there color transparencies which may be borrowed No or rented ______?

Are there color plates for reproduction which may be borrowed ______ or rented _______ or from which electros may

If color plates are available, from whom may they be obtained? _________________



DATE OF SHIPMENT: ______________ (To arrive in Detroit no later than ______________)

RETURN TO: Please contact gallery before return of work  VIA: _____________

SPECIAL SHIPPING INSTRUCTIONS: _________________________

Do you wish The Detroit Institute of Arts to insure in transit? Yes

While on exhibition? Yes. Insurance valuation (please include even if you insure): $10,000. Do you wish to carry your own insurance? No. (Premium: $_____). If so, please ask your insurance company to furnish us with a certificate which includes The Detroit Institute of Arts as Assured, or which waives subrogation rights against The Detroit Institute of Arts.

SPECIAL INSURANCE INSTRUCTIONS:______________________________


SIGNED: Kay Bearman   DATE: 3/29/67