Studio
76 Munster Terrace
North Melbourne
Victoria Australia

Contact
PO Box 1167
South Melbourne D.C.
Victoria Australia 3205
Ph Int+(0)3 9844 4816
Mb Int+(0)412 246012
Fx Int+3 9221 3380

E-mail: info@gavind.com.au

PLEASE ANSWER THE FOLLOWING QUESTIONS FOR AN ACCURATE QUOTE

Company Name
Your Name
Street Name
Suburb / Postcode
Phone
Mobile
Email
1st Preference for Shoot: Day/Time
2nd Preference for Shoot: Day/Time
Brief description of your assignment
LICENSING
If you are intending to use any images in any kind of media, be it electronic, print or otherwise, you will need to complete the following section. This includes newspaper articles, annual reports, the internet, posters etc
IMAGES
How many images would you like to use?
TIME
How long would you like to use these images for?
	select one 12 months 24 months Unlimited Not Sure
MEDIA
In what media will you be using these images? Please tick appropriate boxes
Brochures		Advertising
Magazines		Web
Posters For Sale		CDs & DVDs
Posters For Promotion		Reference
Newsletters		Other
TERRITORY
In which zones will you be using these images. Please tick appropriate boxes