THE HERALD AND WEEKLY TIMES PTY LTD (HWT) FOR INFORMATION OR INQUIRIES TELEPHONE:

SOUTHGATE (ABN 49 004 113 937) 03 9292 1234

Application for purchase of Photographs and/or images

PHOTOGRAPHS TAKEN BY MARK PARDEW
Full Name (of Purchaser) / Surname
Address / Post Code
Home Phone / Bus Phone / Fax
Description of Photo (include names if possible)
CFA MEMBER DAVID TREE WITH SAM THE KOALA
Photographer / Mark Pardew / Publication / Herald Sun
Date of Publication or date taken (if unpublished) / 1 0 0 2 0 9 / Page no. photo appeared on 1
Size / Price * / Quantity / Total $
5x7” / $20
POSTAGE / $2.50
Total $
·  ALL prints are digitally produced and we cannot guarantee exact dimensions
·  Prices shown are inclusive of GST.
·  Orders cannot be processed unless this form is completed in full. In particular, conditions of sale below must be read, signed and dated.
ORDERING OPTIONS
·  Prints can be ordered at the Herald Sun Shop, Shop 11, Podium Level, Southgate.
·  Post orders to PHOTOSALES, PO Box 14730, MELBOURNE, VIC, 8001

·  Fax this order form to: 03 9292 1272

PLEASE ALLOW AT LEAST A 14 DAY TURN-AROUND FOR ALL ORDERS

DELIVERY OPTIONS
¨ I will collect the photograph. Please telephone me on ______when it is ready for collection
or
¨ Please post the photographs to the address shown above. $2.50 postage included in payment.
Please note: All care is taken to package photographs for safe postage,
but no responsibility is taken for goods lost or damaged in the post.
Signature / Date
PAYMENT OPTIONS¨  Please find enclosed cheque/money order payable to The Herald and Weekly Times Pty Ltd
¨ Charge credit card as below (Please tick one box)
Bankcard ¨ / Visa ¨ / Mastercard ¨ /

Diners ¨

/

American Express¨

/ Expiry Date /
Card Number
Cardholder’s name / Cardholder’s signature
signature / Amount $

If you require further information on our privacy policy or wish to access the information we hold, please contact : The Herald & Weekly Times Privacy Officer by either of the following means: E-Mail: or Mail :PO Box 14999 Melbourne City MC VIC 8001