PoCo Heritage Digital Image Distribution Form
This form should be filled out prior to receiving digital image files. Please first contact us at info@pocoheritage.org before you fill in this form.
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電子郵件 *
Name (& affiliation if application)
Phone number
Address
I hereby acknowledge receipt of digital images from the Port Coquiltam Heritage and Cultural Society (PCHCS), and agree to the terms and conditions below.  I understand these images remain the property of PCHCS and may not be exhibited publicly, distributed or reproduced in any manner or form without express, written permission of a Director of the Society. Furthermore, if such permission is granted the images or photocopies must be credited to the Society if reproduced in any publication. Permission may be granted for one-time or multiple use as indicated below. *
Type of request
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What are the photos being used for
Number of images requested
Catalogue numbers of requested images (please list all)
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清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 Port Coquitlam Heritage and Cultural Society 中建立。 檢舉濫用情形