Order or reproduce a photograph from our collection 1Introduction2Membership3Photographs4Your details5Review You can use this form to: Request a digital copy of a photograph from our collection. Request to publish or reproduce a single photograph from our collection in a book, journal, newspaper, lecture, motion picture, television, film, exhibition, display or other (to be specified in the form). Before you begin: It takes about 10 minutes to complete this form and you will need to: Tell us your name, address and email address. Note the item's Call number and Title from the library catalogue. Read the City of Boroondara Privacy Statement. After you complete this form we will: Send you an email about your request. Please allow 10 working days for us to process your request. We may contact you about your request, if required. What happens to your information? We record your information on our customer database and make it available to relevant Council staff in line with our Privacy Policy. Are you a member of the Boroondara Library Service? * Required Yes No You can join the Boroondara Library Service online.Please provide your borrower ID number * Required I would like to * Required order a digital or printed copy of a photograph ask permission to reproduce or publish a photograph Have you previously obtained a copy of this image through the Boroondara Library service? * Required Yes No Photograph orderYou will need to request a digital or printed copy of the image. Please complete the 'Call number', 'Title' and 'Format' of the photograph so we can process your request. You may add an additional order by selecting the + icon.Please complete the 'Call number', 'Title' and 'Format' of the photograph so we can process your request. You may add an additional order by selecting the + icon.Please complete all of the fields below to help us process your request * RequiredCall numberTitle of photographFormat of photograph Digital copy Printed copy (8" x 10")Printed copy - other Please feel free to provide more information on the format you requirePhotograph detailsCall number * Required Title of photograph * Required Publication or reproduction detailsPlease provide details on how you will publish or reproduce the image. You can use the + icon below to add another mediumPlease complete all of the fields below to help us process your request * RequiredMediumAuthor/director/curatorTitlePublisherDate BookJournalNewspaperFilmTelevisionMotion pictureLectureExhibitionDisplayOther Please feel free to provide more information on the publication or reproduction medium Name * Required First name Last name Email * Required Enter Email Confirm Email Phone * RequiredAddress * Required Street address or PO Box Address line 2 Suburb / City State Post code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands I have read and accept Council's Privacy Policy and understand how my information will be used. * Required Yes Please review your information. If you notice errors please use the numbered page navigation or the 'previous' button to make changes. If all information is correct, please click the 'Submit' button to complete this form. {all_fields:exclude[6]}CommentsThis field is for validation purposes and should be left unchanged.
