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IMAGE REQUEST FORM

Please Fill Appropriate Fields:
•Name
•Title
Company
Address
City  
State Zip Code  
Country Phone Fax E-mail
Image(s) you are requesting:
•Type of format you are requesting:
35mm color slide
digital file
4x5 color transparency
Other
•Image Use:
Scholarly: a museum publication in connection with an exhibition, use by a student or lecturer for study, lecture or dissertation
Nonprofit: non-scholarly use by an organization with a 501 (C) 3 status
Commercial: all other uses
•Publication/Use:

Print Media (interior)
Cover Image
Exhibition Panel
Video

Film
Web site
CD-ROM
•Other

•Title of Publication
•Date of Publication
Please list any further details, explanations or requests:
                

This form may also be printed (PDF version) and either mailed or faxed to:

The Morris Museum of Art
Rights and Reproductions
1 Tenth Street
Augusta, GA 30901

Fax: 706-724-7612