Media request form template 2026

1. Click ‘Get Form’ to open the media request form template in the editor.
2. Begin by entering your Name (Print or Type) in the designated field. This is essential for identifying your request.
3. Fill in your Title, Institution/Company, and Address, including City/State/Zip Code. Accurate information ensures proper communication.
4. Provide your Phone and Fax numbers for any follow-up inquiries regarding your request.
5. Select the Media Type by circling one of the options: Audio, Image, or Video. This helps clarify what you are requesting.
6. Indicate the Use of the media by circling one option such as Web Page or Publication to specify how you intend to utilize it.
7. Enter your Email address for correspondence related to this request.
8. Circle the Nature of Project as either Profit or Non-Profit to provide context for your request.
9. Describe the Image if applicable and provide details like Project/Exhibition Title, Curator/Author/Editor, Publisher, and Project Deadline.
10. Finally, review all entered information for accuracy before submitting your request to Pearl Yee Wong at Michigan State University Museum using the provided contact details.

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