Photo Request Form
Name of the person requesting the photo
Email address the photo should be sent to
Why are you requesting this image?
Publication - Please list the publication details below
The photograph(s) requested on this form are for one-time use only for the purpose stated (publication, personal or research use, special uses, etc.). Any further use of the images regardless of production or format will be renegotiated with Alaska Women’sHall of Fame. I will give due credit to the Alaska Women’s Hall of Fame when the image is published.
I agree to the above.
A copy of your responses will be emailed to the address you provided.
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