Purchase Request Form

Purchaser’s Name:
Are you acting on
behalf of a business
If Yes, Business Name:
Nature of Business:
Business Address:
Contact Email:
Phone Number:
Your Position within
the Business/Company:
License Type:6 Month Image License
12 Month Image License
One Year EXCLUSIVE Image License
Margaret River Image Library Membership
Purpose of Photo Use:
(e.g.: Web/Publication/TV)
License Period Start Date:
Photos Codes:
Yes , I have read, understood and agree to the copyright agreement relating to the use of photos / images from Margaret River Photos and Image Library as outlined on their website. Furthermore, I confirm I have read, understand and agree to all the terms and conditions relating to photos/image use as explained on the Margaret River Photos and Image Library website. I have read, understood and agree to the License/s purchased and take full responsibility for ensuring that they are strictly adhered to. I understand and agree that, should I be purchasing on behalf of my employer, that in the event I cease to work with the said employer, I have no claim on use of the purchased photos/images.