Name_______________________________      Date_____________

Dept. ______________________________

Describe photos to be taken. ______________________________________________________________
______________________________________________________________

All photographs are DIGITAL.
Print Size:  ________

oNLY ONE COPY OF PHOTOGRAPHS WILL BE MADE
UNLESS OTHERWISE REQUESTED.  iF YOU NEED MORE THAN ONE COPY PLEASE TELL US.

What date do you need these? __________________________

Remember, it may be necessary for you to take the picture, particularly on short notice.  Please make sure you know how to use the camera properly and return it as soon as you have finished.

If this is for your department have your Cluster
Chairperson sign the request.
Advisors please have the Student Activities
Coordinator sign the request

Return to Jean Sullivan in the IMC.

 ________________________                ________________________
Cluster Chairperson                                    Director of Media Services
Student Activities Coordinator

Greater Lowell Tech