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ONLINE IMAGE REQUEST FORM
Please fill out the following form. All fields are required.
What is your:
Name:
Department:
E-mail:
Phone #:
.
.
What are you looking for?
What is the final output of this image?
(choose one)
Print
Web
Both
What type of image do you need?
(choose one)
Color
Black & White
No Preference
Description of what you are looking for:
(300 characters max)
What are going to use this photo for — a print publication or a Web site? Please be specific.
When do you need this image?
(allow upto 3 business days)
Month
Day
Year
January
February
March
April
May
June
July
August
September
October
November
December
1
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25
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27
28
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31
2003
2004
2005
2006
2007
2008
2009
How will you get this image?
(Choose one)
Please have C&M staff e-mail me the image
(for Web images only)
I will pick up a CD with the image from C&M office, Main Building, Room 503
Please have C&M staff send a CD with the image through inter-campus mail
© 2008
Illinois Institute of Technology 3300 South Federal Street, Chicago, IL 60616-3793 Tel 312.567.3000
