Order Ref:
PRINT ORDER FORM
Contact Name:
Billing Address:
Print Details
Please write digital image number, artist & title here:
Image ref/accession no:
Title:
Email:
Artist/Maker:
Tel:
Image ref/accession no:
By signing this form I apply
for the image(s) or print(s)
listed, and agree that they will
only be used for use stated
on declaration form. Should
any further reproduction be
considered then a separate
application is to be made.
PLEASE NOTE:
1. Payment should be in
British Pounds Sterling
only, via card or cheque.
2. Cheques made payable to:
National Museums
Liverpool.
3. Completed order forms are
to be posted/emailed to:
Nathan Pendlebury
(contact details below).
4. The credit line for
reproduced images is:
Courtesy National
Museums Liverpool.
5. By signing this form client is
held responsible for any
consequences in using
works with unknown
copyright (“Orphan Works”)
6. Invoice only provided upon
request.
Please contact us at National
Museums Liverpool, 127 Dale
Street, Liverpool , L2 2JH UK.
Tel (0151 478 4657, or via email
address
photography@liverpoolmuseum
s.org.uk with any further
enquiries, thank you.
Title:
Artist/Maker:
Image ref/accession no
Title:
Artist/Maker:
Image ref/accession no
Title:
Artist/Maker:
Print Size
Please select as necessary
Unit
Cost
Quantity VAT
20%
Total
A4 210x297 mm / 8.3x11.7
inches
A3 SUPER 329x483 mm /
13x19inches
A2 420x594 mm / 16.5x23.4
inches
Total
Signature…………….……………….……….