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Reproduction rights application form

Please fill in this form to apply for photographic material and reproductions rights. To enable us to process your request quickly, please supply as much information as possible.

Mandatory fields

Account number (if known):

Company details

Company name:

Telephone:

Fax:

Contact name:

Email:

VAT (TVA, IVA, MWST) no:

If you or your company does not have a VAT number, enter NONE

Delivery address

Address 1:

Address 2:

Address 3:

Country:

Postcode/zip code:

Invoice address

The same as delivery

Address 1:

Address 2:

Address 3:

Country:

Postcode/zip code:

Picture information All digital images for print use are in Jpeg fomat at 300dpi.
A matchprint on A4 paper cost £25.00 each (+ VAT if applicable)

NG number:

Artist:

Title:

Format:

Reproduction size:

Matchprint

NG number:

Artist:

Title:

Format:

Reproduction size:

Matchprint

NG number:

Artist:

Title:

Format:

Reproduction size:

Matchprint

NG number:

Artist:

Title:

Format:

Reproduction size:

Matchprint

NG number:

Artist:

Title:

Format:

Reproduction size:

Matchprint

Delivery method:

Electronic

CDROM - A service fee of £35 (+VAT if applicable) will be charged

How did you hear about us?

I confirm that the information I am submitting on this form is true and complete to the best of my knowledge.

I have read and accept the National Gallery Picture Library’s Terms & Conditions.

IMPORTANT: A request for an image to be sent will incur a minimum service charge of £30 + VAT and £35 + VAT (if applicable) for overseas orders irrespective of whether the image is reproduced or not. Return of this form implies acceptance of these charges.