Copyright Request Form

for using M.C. Escher prints

Contact info
Name of contact
Email
Fax number
Name of Company /Organization
Type of Organization	Company Non profit organization Private person Museum
Street
City
Postal code
State/Province
Country
Publication info
Title of publication
Author of publication
Type of publication
Print run
Where are prints used (i.e.Front page  / Cover)
Which language or country rights would you like to request
Prints info
Which print(s) would you like to use. We will send you the print(s)  in jpeg format by e-mail (high resolution)