Distribution Request Form

LUX DISTRIBUTION REQUEST FORM

Please fill in this form to place an order for the hire of works from the LUX Collection. You will need to provide you/your organisation's invoicing and shipping details, information about the event, and the work(s) you wish to hire and preferred format. A member of the LUX Distribution team will be in touch within two working days to confirm the order.

CUSTOMER DETAILS
Your name*
Organisation or company name*

If you are hiring works independently (as a curator/producer/artist etc) just put your name here again.
LUX customer number

If you have hired works from LUX before and know your customer number ('M' followed by 5 digits) please fill here, otherwise leave blank
Email*
Contact telephone number*
please include your internatoional dialing code eg +44 2031412960
Delivery address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Courier account

If you would like us to use your courier account (Fedex, DHL, UPS etc) for shipping, please put the account details here
INVOICE DETAILS (IF DIFFERENT TO SHIPPING)
Organisation or company name
Contact name
Email address
Contact phone number for invoice
please include your internatoional dialing code eg +44 2031412960
Invoice address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
TAX INFORMATION
Where is the organisation which will pay for the order registered for tax purposes*
- United Kingdom
- Other E.U. member country
- Rest of the world
VAT number

If you are ordering from an E.U. member country and your organisation is registered for VAT tax in that country, please put your full VAT number here to avoid UK sales tax being charged on the order. Otherwise leave this field blank. VAT number validation If you are submitting your VAT number, you MUST check that the number is validated on the European-wide VAT register: http://ec.europa.eu/taxation_customs/vies/vieshome.do?selectedLanguage=EN. If the number is not validated by this site, it cannot be accepted and 20% UK VAT will be charged on your order.
ORDER DETAILS
Is your order for*
- Screening
- Exhibition
- Library Reference Copy
- Image Licensing
- Edition Sale
First screening/exhibition Date [DD/MM/YYY]*
DD slash MM slash YYYY

Please give the first date (day/month/year) of the screening/exhibition you wish to place an order for. For exhibitions please provide the date that the exhibition starts (is open to the public) indicating when you will require the work for installation in the section below. Please note, if the first screening/exhibition date is within 4 weeks (UK) / 6 weeks (international) of today's date, an additional rush charge will be applied to the order if the order is confirmed. For Library Reference DVDs and Image Licensing, please indicate what date you require these by.
closing date (for exhibitions/screening run) {dd/mm/yyyy]
DD slash MM slash YYYY
Programme / Exhibition Title
Programme / Exhibition Details
Please give brief details of the exhibition (outline concept, other artists included, etc.) as well as specific information about how you are proposing to install the work (projected or on a monitor, in a dedicated space, timed screenings etc)
Works requested*
Work title, Artist name. Please specify format required (e.g: H264, ProRes, DCP, 16mm print)

LUX DISTRIBUTION REQUEST FORM

CUSTOMER DETAILS

INVOICE DETAILS (IF DIFFERENT TO SHIPPING)

TAX INFORMATION

ORDER DETAILS