Web Permission Form

Web Permission Form

Campus: (Knoxville, Chattanooga, Martin)
Name
Business:
Mailing Address (street, city, state, and zip):
Email Address:
Phone Number:
Fax Number:
Web site URL:
Image to be used on (commercial/personal) Web site:
Relationship with UT:
If other relationship, please explain:
Image URL:
Image Name:
Image Description:
Will the image be used on the Web site mentioned above? (yes/no)
If the image will not be used on the above Web site, please list other URLs where the image will be used: