Home <<Return to IAM Contest Site Photographers Name(Required) First Last Address--- Please Begin With Your Country ---United StatesCanadaAddress(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email(Required) PhoneLocal Lodge No. IAM Territory--- Please Select ---CanadaWesternSouthernEasternMidwestAir TransportRail DivisionTCU UnionAerospaceNational Apprenticeship Strategic InitiativeHeadquartersEmployer Is Employer State/Province & Country The Same? Yes, the state/province and country are the same Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Title of Photo(Required) Description of Photo(Required)DESCRIPTION OF PHOTO (Description will be use for the calendar caption)Media Release(Required)--- Please Select ---Image Release - Completed OnlineImage Release - From Application Packet (Uploaded)Are you submitting a digital release or uploading a written release?Signature (s) of identifiable persons in the photo submitted:As part of the IAM Photography Contest, and for consideration of my satisfaction of being published in any IAM print or electronic-based medium, I (we) authorize and grant the IAM the unlimited use of photographs supplied by me (us). I (we) acknowledge that no further compensation of any kind will be made by the IAM or its agents for the use of the photos I (we) have supplied. Each of the identifiable parties in the pictures supplied has signed below their unconditional consent permitting the IAM unlimited use of the images contained within the photos.Photographer Confirmation(Required) My signature below confirms that the following person(s) featured in my photo and listed below have given permission to the IAM in accordance with the above statement. Date MM slash DD slash YYYY Person 1 IAM Card Number Person 2 IAM Card Number Person 3 IAM Card Number Person 4 IAM Card Number Person 5 IAM Card Number Person 6 IAM Card Number Person 7 IAM Card Number Person 8 IAM Card Number Person 9 IAM Card Number Person 10 IAM Card Number Image and Release UploadsUpload Completed Image ReleaseAccepted file types: pdf, doc, Max. file size: 8 MB.This image release is for the release in the application packet.Upload Images(Required)Accepted file types: pdf, jpeg, jpg, png, psd, , Max. file size: 8 MB.Upload your submission image.Signature ConfirmationPhotographer Signature(Required) Reset signature Signature locked. Reset to sign again Spam CheckPhoneThis field is for validation purposes and should be left unchanged. <<Return to IAM Contest Site
