WINS Image Request Form:

Ship To:
Name:  
Company:  
Address:  
City:  
  State:   Zip:  
Telephone No.  
FedEx, UPS or other account #  
Third Party account #:  

 

SUBJECT # DESCRIPTION Deadline Usage Size Circulation
         
         
         
         
         
         
     

 

  
     

 

  
     

 

  
     

 

  

Please fax to World Images News Service (703) 888-0692. $75.00 fee will be waived if photo is used.