ASCP Lab Week Image Use Permission Request Form
Use this form to request approval to use ASCP images for non-commercial Medical Laboratory Professionals Week recognition activities.
Organization / Laboratory Name
Primary Contact Name
First Name
Last Name
Contact Email Address
example@example.com
Which ASCP image(s) are you requesting permission to use? (Please include the theme/year, image name, link, or a brief description)
Will the image(s) be used for non-commercial purposes only?
Yes
No
How do you plan to use the image(s)? (Select all that apply)
Social Media
Internal Newsletter or Intranet
Digital Signage
Printed Materials (posters, flyers, etc.)
Other
Dates the image(s) will be used (Use should be limited to Medical Laboratory Professionals Week unless otherwise approved)
Do you agree to follow ASCP image usage guidelines? (Check all)
Images will not be altered except for resizing
ASCP will be credited as the source
Images will only be used for the approved purpose and timeframe
Image files cannot be shared with any third party outside the organization that was granted permission (including but not limited to vendors, freelancers, designers, or agencies)
I understand that submitting this form does not guarantee approval and that written permission from ASCP is required before using any ASCP images. ASCP reserves the right to revoke permission if usage falls outside what is agreed upon.
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