Image Request Form

CHF Image Request Form

To inquire about image permission and reproduction fees, please contact the Archivist at archivist@chemheritage.org.

Your information


Name
Street Address
City
State
ZIP Code
Daytime Phone		–
E-mail
Image Title
Accession Number

Request for permission to use or publish:


Use is:		Nonprofit
		Commercial
		Personal
Nonprofit tax ID
Company or Institution
Intended usage
Date permission needed by

Request for reproduction:


Digital:	Resolution	150 dpi	300 dpi	600 dpi
	Type of file	JPEG	TIFF
	Size	5x7	8x10
	Color	Color	B&W
Print:	Size	5x7	8x10
	Color	Color	B&W
	Finish	Glossy	Matte
Slide:		35mm
Transparency:		4x5	8x10


Number of reproductions needed
Date needed by
Special instructions or comments
How did you locate our Web site?
Resources already consulted

When you have completed the form, click the Request button and you request will be sent to our archival staff. Please allow 4–6 weeks for processing. Requests to fulfill orders in less than 4–6 weeks will be considered rush orders and may incur additional charges. An invoice will be mailed to you.

Questions? Please contact the Image Archivist at:
Image Archivist
Chemical Heritage Foundation
315 Chestnut Street
Philadelphia, PA 19106
Tel.: 215-873-8230
E-mail: archivist@chemheritage.org