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Home > Forms

Photographic Collection - Booking Form

 
Please note this form is intended to be completed, printed-off, signed and dated and returned to the address below with the full payment;

Grimsby Central Library, Reference Library, Town Hall Street, Grimsby, DN31 1HG

 
Title *
 
Image DetailsTo order more than 1 image please use the submit button and repeat the ordering process.
Image Size Required (The sizes available are approximate as the original image sizes all vary)
 
Would you like the print in -
Do you want the print posting to you when it is ready?
 

Please supply me with copies of the photographs requested above. I understand that:

a) Any writing, stamps or other marks visible on the original photographs will also be visible on any reproduction.

b) That sizes may vary from those listed above, depending on the negative and the discretion of the photographer.

 
I hereby certify that these photographs are for personal study and/ or private use, and will never be published or otherwise used for commercial gain without specific permission and the payment of a separate fee for each photograph, as specified in North East Lincolnshire Councils' "Fees and Charges".
 

DATA PROTECTION NOTICE
North East Lincolnshire Council is a Data Controller for the purposes of the Data Protection Act 1998. Any personal information supplied on this form will be processed in accordance with the principles of the Act. If you want to find out more about your rights under the Act, you can contact the Office of the Information Commissioner (tel: 01625 545 700 / http://www.dataprotection.gov.uk) or the Director of Law and Democratic Services on 01472 313131.


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Created by   :   Information Assistant, Grimsby Central Library
Last Updated   :   31 May 2005
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