Request a formal portrait, group photo, coverage for a special event or other projects using this form. Name Department Email address Service Type What services would you like to request? Formal Portrait/Headshot Group Shot Clinical Shots Environmental Shot Work Event After-hours Event Other… Enter other… Please note: Availability is at the discretion of the photographer. Details Request Details: Intended Use Number of people If you are requesting a group photo or photos, please specify the number of people in the largest group that will be taken. How will this photo be used? Deadline for delivery of photos: Billing Information Budget Purpose Number Please be aware that some services will incur a fee. Your budget purpose number will not be charged until the Office of Marketing and Communications has approved the request and verified the charges with you and your fiscal officer. Fiscal Officer Please note Note: Your project request will be submitted to the Office of Marketing and Communications for review. Submission through this form does not guarantee the project will be accepted. More information For more information or to brainstorm about a project, contact the SIU Marketing, Communications and Engagement Department at pr@siumed.edu.
