Ministero per i Beni e le Attività Culturali e del Turismo

Ministero per i Beni e le Attività Culturali e del Turismo
PRATO STATE ARCHIVES
REQUEST TO USE DIGITAL IMAGES FROM THE WEBSITE “DATINI-ON-LINE”
No revenue stamp required (marca da bollo)
Addressed to the Director of the Prato State Archives
Surname……………………………………………..Name……………………………….
Place and date of birth………………………………………………………………………
Address (country)…………………………………(city)………………….………………..
(Street)……………………………………………………………………………(No.)……..
Email Address…………………………………………………………………………………
Requests a digital copy of the following documents from the Datini Archive image bank:
Indicate complete call number and code:
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For a total of …………documents. (Please note that each code corresponds to one document but
more than one image)
Requests a copy of the CD-ROM “PER LA TUA MARGHERITA”
For the following reason:
Research
Commercial (please fill out the specific form)
Publication (please fill out the specific form)
The undersigned is committed to the non-disclosure, dissemination or distribution of the copies
received to the public, aware that the violation of this commitment would result in the exclusion
of entry from State Cultural institutions (museums, archives, libraries), as well as application of
penalties provided for by the law for the relevance of the fact.
Date……………………………………Signed……………………………………………………..
For Office Use only:
Ai sensi del decreto MIBAC 8/04/1994 e successive circolare ministerial n. 50 del 7.06 1995 e lettera
circolare 21 del 17 giugno 2005,
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si applica la tariffa di euro……………………………………………….
si concede gratuitamente a motivo di…………………………………………………………………………………………..
Numero ammissione alla Sala Studio (se utente nel corrente anno)………………………………………………..
Si allega attestato di versamento
Il responsabile della Sala Studio
……………………………………………………………………