Image Permission and Request

Provincetown Art Association and Museum (PAAM)

Please complete the following form for all PAAM image permission requests.

Contact Registrar Madeleine Larson (mlarson@paam.org) with any questions.

Image Request and Permission

Date of application(Required)

Applicant name(Required)

First Last

Affiliation(Required)

Phone(Required)

Email(Required)

Image(s) requested:(Required)

Credit card number, expiration date, and CVV code:(Required)

Billing Zip Code(Required)

Name on card (if different from name of applicant):

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