Image Request Form

"*" indicates required fields

Name*

First Last

Job Title

Institution / Organization

Is this institution a 501c3 non-profit organization?*

Yes

Documentation may be required to demonstrate status.

Daytime Phone Number*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Image(s) Requested:*

Media Needed*

High-resolution Digital Image (TIFF, higher than 600 dpi)

Low-resolution Digital Image (JPG, less than 300 dpi)

8x10” Print (B/W or Color – please specify in description)

Color Photocopies

B/W Photocopies

Type of Project*

Brief Description of the project*

Please include any publishers, intended print run, languages and context in which the image will be used in your description.

The Witte Museum is closed due to inclement weather from 1 p.m. Saturday, January 24 through noon on Monday, January 26. We'll see you again soon!