FOR AND IN CONSIDERATION OF the mutual undertakings herein, agreed to and to be performed in Indianapolis, Indiana, Photographer
(“you”) and Newelds (“we”) agree as follows:
Company
Address
Photographer(s)
Photography and Video Shoot Application
If any individual does not comply with the above conditions, Newelds reserves the right to deny permission to photograph
and may request that the individual leave the premises.
The signature below indicates that , understands and fully
agrees with the Photography and Video Shoots Guidelines outlined herein and agrees to hold Newelds harmless for any
and all damages, injuries, and/or losses that may occur while on Newelds property.
Please return this document to Newelds, 4000 Michigan Road, Indianapolis, IN 46208
or photopass@discovernewelds.org.
Telephone
Photographer
Desired date(s) to photograph
Email
Date
Date
Date
Photography start time(s)
Brief description of
intended project(s)
TO BE COMPLETED BY NEWFIELDS STAFF
Approved
Newelds
(print name)
Comments
Requested photography location(s)
The Garden The Virginia B. Fairbanks Art & Nature Park: 100 Acres
Fee Required Fee Paid
/ /
/ /
/ /
$ $
Yes No
4000 Michigan Road, Indianapolis, IN 46208 · 317-923-1331 · discovernewelds.org · photopass@discovernewelds.org
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Photography Shoot Application (continued)
Payment of fees is due with permit application.
Single day pass fee of $50 covers two photographers from one company.
Students may obtain a single day pass for completion of class assignments for free with a copy of their student identication. Maximum of 10
per year.
The photography generated is granted permission for one-time use only for the original purpose listed on the permit application.
To ensure a scheduled shoot, submit completed application at least two weeks in advance of the intended date(s) of photography. Passes
may also be purchased at the Newelds Welcome Desk.
Completed applications may be submitted by mail or electronically by e-mailing photopass@discovernewelds.org.
Newelds reserves the right to request one gratis copy of any publication that includes images of any parts of Newelds or its properties.
Newelds reserves the right to request reciprocal use, for in-house publications or online dissemination, of images created that include any
parts of Newelds or its properties. The photographer shall retain copyright of the images and will be appropriately credited in any Newelds
uses of the images.
Photographs of museum objects and grounds must not be used to assert or imply Newelds endorses any commercial product or enterprise,
concurs with the opinions expressed in, or conrms the accuracy of any text used with these photographs.
Card Holder Name
Billing Address
Amount to
Charge to Card
CREDIT CARD AUTHORIZATION FORM
Type of
Card
Credit Card
Number
Expiration
Date
Security
Code
AMEX VISA MASTERCARD
I hereby authorize Newelds to process the expenses related to the photography listed above.
Approved by
Please return this document to Newelds, 4000 Michigan Road, Indianapolis, IN 46208
or photopass@discovernewelds.org.
(authorized signer on account)
$
.
4000 Michigan Road, Indianapolis, IN 46208 · 317-923-1331 · discovernewelds.org · photopass@discovernewelds.org
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signature
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