TCBG Media Request Form

Please complete form to request use of media from the TCBG website

Thank you for your interest in TCBG's media (images, movies) galleries. To help us process your request, please answer the questions below for the media requested, and review TCBG's guidelines on how to acknowlege our work.

1. Last name:

limited to 999 characters.

2. First name:

limited to 999 characters.

3. Title:

4. Email address: answer must be an email address

5. Organization/Affiliation (e.g., Univ. of Illinois):

limited to 999 characters.

6. Street address and country:

limited to 999 characters.

7. Type of media being requested - image, movie, other?

8. Name/title or caption of the media (so that it can be located on the web page):

9. Name of file?

If number appears in blank below, look up article number here to see publication that may exert copyright. That publication must also be contacted for permission to use the media of interest.

10. Publication with known copyright issue for the requested media?

If number appears in blank below, look up article number here to see publication that may exert copyright. That publication must also be contacted for permission to use the media of interest.

11. How do you intend to use the media being requested? Check all that apply.

11. How do you intend to use the media being requested? Check all that apply.

Media supplementing a book or book chapter

Media supplementing a journal article

Media supplementing thesis

Media for use in a conference, talk, or other presentation

Instructor using movie as part of a lecture for a class

Online brochure or advertisement

Use on website

Other (describe below)

Enter text

12. Provide below any comments that may facilitate your request.

Thank you for your request!

Please note that if you request below to be emailed a copy of this form, it may take some time, up to several hours, to reach your inbox, and/or may be relegated to your spam filter. Also, it may take some time to research a movie to identify copyright issues, contact shareholders, and the like so please be patient. Address questions about requests to Dissemination@ks.uiuc.edu.

Include your email address in your submission to:

Get a copy of your answers
Receive a link to delete your submission later

Enter your email address to get a copy of your answers receive a link to delete your submission later