Your Name *

First Name

Last Name

Your Address

Please fill your address (any alternative address can be arranged later)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Photography Questions

Please tick for 'yes' where appropriate.

I have a digital photograph (.jpeg or .pdf file) and will send it to you via email.

I own the copyright and it's OK for you to use it.

I have the copyright holder's written approval for you to use the photograph (I'll send you a copy).

Site Visit Questions

Please tick 'yes' where appropriate.

I would like you to visit the location; it is within approximately 1.5hrs drive of Sheffield.

I own the property and grant you permission to visit, paint and/or photograph it.

I have the owner's written permission for you to visit, paint and/or photograph at the location.