Please check ONE box as appropriate:   I would like to place an order for the following image(s) at your standard rates: (or) Please quote for the following image(s): 

Images ref.No.s: (type/paste file ref(s) here):

Proposed image use for: Magazine Cover Magazine Inside more than half page Magazine Inside up to half page Book Cover Book Inside Postcard Greeting Card Brochure Other - please specify below

Finished Size required (approx): A6 or smaller A5 (Approx) A4 (Approx) A3 (Approx)

Please check boxes as appropriate:

A picture credit will be published with the image?: 

Supply by email?:              or Supply on CD?:

NB: Jpg's usually sent by email attachment.
Multiple large files, or Tiffs (if required), normally supplied on CD

Company Name:

Contact Name:  

Address: 

Postcode: 

Phone: 

Email: 

Comments/Other info: