Copyright request form
The fields with a asterix (*) next to them are mandatory.
Your contact details
Name
*
Business/organisation:
*
Email:
*
Phone:
*
Address
*
Details of DPIRD document or image you or your organisation wishes to reproduce
Title
*
Author
Series name (e.g. PestNotes, Bulletin)
Series number
Year of publication
*
ISBN, ISSN or catalogue no.
Is the work to be reproduced in its entirety, including accompanying images, graphs, tables, photographs or drawings?
Yes
No
Describe the graphs, photos, tables or drawings to be used if they are to be reproduced separately
If the item is from our website, please paste the web address here:
Please state the intended purpose of reproduction (e.g. use in the publication title, Vol X, Issue No X, 2013 or course name and year)
*
Number of copies to be reproduced
Or is it for online access?
Or is it for online access?
Is this for free issue?
Yes
No
Is this for sale at cost recovery? (for educational institutions only)
Yes
No
Is this for commercial use?
Yes
No
Please detail special requirements (e.g. high quality versions of photographs required)
Leave this field blank
