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First Name: |
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Last Name: |
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Company: |
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Address: |
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Email Address: |
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I agree to the Terms and Conditions set by VIREO |
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Please describe the kind of images you are interested in: |
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or specify a particular image code: |
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Project title: |
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Description of Usage: Please be as explicit as possible |
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Circulation: |
Total number of copies in all media
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Distribution: |
Which countries or local area?
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Size Needed: |
1/4 p. 1/2p., etc. or dimension in inches/cm
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Placement: |
Cover, interior, etc.
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Media |
trade book, website, ebook, etc.
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Additional Comments: |
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