Register your interest

If you're an artist interested in the Copyright Licensing service, please complete this form and we'll get back to you.

Have you given an agent, gallery or library exclusive right to license your work?:*

Name:*

Date of Birth:*

Nationality (Enter more than one if you hold multiple passports):*

Name by which you are known as an artist:

Address:*

City:*

County/Region:

Postcode/Zipcode:*

Country:*

Phone:*

Mobile (optional):

Fax (optional):

Email Address:*

Website (optional):

Name of Representing Gallery or Agent (if you have one):