Image Request | Albury City Council | Forms

Image Request Form

Image Request

Purpose

Personal, family history, community, or educational

Commercial

Examples of how you plan to use the images

Given name

Family name

Preferred phone

Email

Address

Image IDs

Each image has an ID in this format ARM XX.XXX. Separate IDs with a comma (,)

Send me the invoice via:

Email

Post

Declaration

Declaration

I accept responsibility for obtaining consent of the copyright owner if necessary.

I agree to acknowledge the source of the item in the form specified by AlburyCity.

I agree to describe the item as specified in the Collection Image Description (as found on the AlburyCity Collection online database).

I agree to not make further reproductions without written permission from AlburyCity.

I agree to lodge a complimentary copy of the publication in which the image is published, if applicable, with AlburyCity LibraryMuseum.

I agree that images will be reproduced in unaltered form from that supplied by AlburyCity.

Acknowledgment

All public display and publication of AlburyCity’s images are to be acknowledged with the following line: AlburyCity Collection, ARM [insert number]

Privacy Policy

We are committed to protecting your privacy. We will only use the information that we collect about you lawfully (in accordance with the Privacy and Personal Information Protection Act 1998 and the Health Records and Information Privacy Act 2002).

For more information about what data we collect, why we collect it, and what we do with it refer to our privacy policy or contact us.