Permission for filming

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					                       ARCIBISKUPSTVÍ OLOMOUCKÉ
                         (Archbishopric of Olomouc)
                   Wurmova 9, P.O. Box. 193, 771 01 Olomouc, Czech Republic

                                                  Please fill in your address here:

Filled by: Arcibiskupství olomoucké (Archbishopric of Olomouc)

                              Permission for filming
Number:                         By:                      Phone No.:                       In Olomouc, date:

Archbishopric of Olomouc agrees that the below signed claimer will be enabled to perform
(only with acceptance of the official conditions):

   Filming in the below stated objects
   Publishing of the below stated film material


                                                    Vicar General of the Archbishopric of Olomouc

General conditions for the realization of filming and publishing of the film material:
1. This permission is only valid for the dates set in this document.
2. It is necessary to obtain first the permission of the owner of the object or the appropriate
   institution (in case of churches with the parish administrator).
3. The dates and terms of filming are necessary to set in advance with the owner/administrator
   of the object.
4. The claimer will be identified to the owner/administrator by his/ her ID or passport.
5. Filming will be realized with a presence of person assigned by the owner/administrator of the
   object who will set further conditions.
6. Film material can be used only for the set purpose. Without a permission of the
   owner/administrator and the Archbishopric of Olomouc cannot be published any further.
7. It is not permitted to film details of the mobiliary.
8. Archbishopric of Olomouc will receive for this filming permission an amount of …. as well
   as 2 pcs of DVD containing the film material.
9. Film documentation can be taken only within this permission.

Telephone                   Fax:                      E-mail                             IČO
+420 587 405 437         + 420 587 405 433                00445151
Filed by claimer:
Name and surname/Name of the company:
Contact details: Telephone number, Email:

Purpose of filming or the film title:

Expected terms of filming:

Expect terms of publishing:

Character of the film material1):
 commercial
 educational, non-profit
 advertising

Amount of copies:

The object of filming is1):
 cultural building or piece of art
 other2)

Place and object of filming:

Object 4):





Fill in this form Permission for filming and please send it by email to:
1) Mark.
2) Architecture or mobiliary only as a scene during the filming.
3) Please specify the name of town and the name of the building
4) Please specify the object (example: church architecture, paintings of a concrete painter etc.).

Telephone                  Fax:                     E-mail                         IČO
+420 587 405 437        + 420 587 405 433            00445151

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