Request to Film at The Wolfsonian

Please complete and submit this form at least a week in advance of the proposed filming date. For further information, please contact the PR/Communications Department at pr@thewolf.fiu.edu [1] or 305.535.2622.

CONTACT INFO

Name: *

Work phone: *

Mobile phone: *

E-mail: *

Company: *

Address: *

REQUEST INFO

Requested date for filming: *

If dates are flexible, list all possible dates (e.g., Oct. 1-5 or week of Oct. 1):

Requested time to BEGIN filming: *

Requested time END filming: *

Subject of filming: *

Where and what in the museum do you wish to film?

Description of crew size and equipment: *

Any special requirements: *

BROADCAST INFO

Broadcast date:

Name of program to appear on : *

Broadcast on: *

Station, channel, etc.

Project description: *

Summary of the segment or program that will be filmed at the museum.

In the case of filmstrips, films, videos, or television, visual credits must appear in the credits, at the beginning or at the end of the program. No abbreviations are permitted. The complete credit line is as follows:

The Wolfsonian–Florida International University, Miami Beach, Florida

Upon date of broadcast, the station is to provide The Wolfsonian with two complete, gratis copies of the program in which the footage is televised. Please send to:: Communications Department; The Wolfsonian-FIU; 1001 Washington Avenue; Miami Beach, FL 33139

I hereby confirm that I will not use the video footage I take at The Wolfsonian-FIU for any purposes other than for broadcast on the program listed above.

I agree to these terms and conditions.

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