Order Form

Please ensure that you have read our Services page regarding Prices and Guidelines.

Statement of Intended Use:

Reproduction(s) for personal use only and will not be used for publication, exhibition or commercial use.
Reproduction(s) intended for publication, exhibition, or commercial purposes.

Describe your Project or Use:

Photo Request Details:

Photo Accession or Negative # or Record ID:

Photo Title or Description, to be sure it's the right photo:

Photo Size, in inches on the long side:

Photo Format:

Email
Print

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Agreement & Contact Details:

I understand and agree to the above terms and conditions for the images listed above and I realize that purchase or possession of these reproductions gives no right of further reproduction or any use other than that described above without additional permission in writing from the Prince Rupert City & Regional Archives.

Name:

Organization:

Address:

Phone:

Email:

Date: