AUTHORIZATION REQUEST
For taking photos and filming at FCM & CMCMH


APPLICANT
Name and surname *
ID - Passport No.
Company
Address
Telephone *
Fax
E-mail

AUTHORISATION REQUESTED to
At:
AUTHORISATION REQUESTED to
Shooting / filming date:
FOR
Title
Publication content
Publisher
Country
Media
Name of medium
Type of programme
Programme name
Country
Approximate date
Purpose
Site
Country-
Type (leaflet, flyer…)
Applicant DECLARES that the pictures
Applicant represents that museum visitors will not be inconvenienced by the shooting and that museum rules will be observed at all times.