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Photo Request Form

Request a formal portrait, group photo, coverage for a special event or other projects using this form.

Please note: Availability is at the discretion of the photographer.
If you are requesting a group photo or photos, please specify the number of people in the largest group that will be taken.
Billing Information
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.

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.

For more information or to brainstorm about a project, contact Sara Way, SIU Medicine's senior photographer, at 217.545.2151.