Request Permission to Use an Image Please complete the following form for all image-related requests *Required field Request Permission to Use an Image Request Permission to Use an Image Please complete the following form for all image-related requests *Required field Image request Name * Institution Email Address * Type of request * Academic Commercial Personal Other Use of image * Print Print and digital Digital Film Social media / PR Merchandising Other Image placement Inside Cover Other Description of publication (book, article, card, calendar, etc.) * Title of publication * Name of author * Print run * Editor/Publisher * Language(s) * Date of publication Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year20242025202620272028 Year Geographic regions for distribution Size and position in publication (for example: full page) Additional Information The item being requested Title of the artwork / Descriptive title of the object * IMJ registration number Artist / Relevant object information Please insert the link from our website (if available) https://www.imj.org.il/en/collections/241093-0 Invoice details Name/Institution to be billed * Billing address * CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 1 + 2 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Submit
