Applicant (and, if applicable, client):

Complete address (company/institution, street, zip code):

E-mail address (★ mandatory field):

Phone (★ mandatory field):

Subject of the film or photo project (★ mandatory field):

Intended use (★ mandatory field):
News CoverageInterviewScientific Feature or ArticleOther
Brief description of the film/photo project (★ mandatory field):

Shooting location (★ mandatory field):

Shooting date (★ mandatory field):

from (time) (★ mandatory field):

to (time) (★ mandatory field):

Name Photo/film team (★ mandatory field):

Contact person (★ mandatory field):

Number of persons and vehicles, technical equipment (★ mandatory field):

Do you plan a secondary use or redistribution of the film/photo material to third parties?
yesno

Expected date of release/broadcast:

Planned broadcast length (in minutes):

The applicant agrees to the following conditions:
1) The applicant(s) (and, if applicable, his/her/their client(s)) undertake to refer explicitely to the EUREF Campus as "EUREF Campus Düsseldorf" in their film or photo project.
2) The applicant shall send EUREF AG a specimen copy/link of all recordings within 2 weeks after the recording date to marketing@euref.de.

The submission of this application form does not constitute an approval and does not constitute a claim for the granting of an approval. If an approval is granted, you will receive this as a separate e-mail.