Archive Video Footage Order Request

Print this page before completing and sending to HolidayNet.com Ltd by e.mail to footage@holidaynet.com or by fax to: 020 8390 6300

Form completed by:………………………………………………………………………………………..................................................…/

On behalf of [Company] …………………………………………………………………………………..................................................../

Address: ………………………………………………………………………………………………………..................................................../

……………………………………………………………………………………………………………………..................................................../

Contact phone:………………………………………………………………………………………………/

Contact e.mail: ………………………………………………………………………………………………/

Detail here footage required:

List Destination/s :……………………………………………………………………………………........................................................../

……………………………………………………………………………………………………………………...................................................../

List specific shots:……………………………………………………………………………………………................................................../

……………………………………………………………………………………………………………………...................................................../

……………………………………………………………………………………………………………………...................................................../

……………………………………………………………………………………………………………………...................................................../

Supply preview VHS tape with BITC : YES / NO @£20

Supply rushes on: Beta SP / DV

Footage required by date:………………………………………………………………………………..

Name of Production :……………………………………………………………………………………….

Approximate edit dates : …………………………………………………………………………………

In submitting this form I confirm my agreement with the published licensing terms

and conditions for the use of the video content, as set out on www.holidaynet.com

Signature:……………………………………………………Date:…………………………………………….

Please note that HolidayNet.com Ltd will issue a pro-forma invoice on receipt of orders which, must be paid in full to receive any video material