Chandra EPO Permission Request Form
Conditions of Use of Images, Products or Technologies (materials)
The images on this web site may be used for non-commercial educational and public information purposes. Please credit images to "NASA/CXC/SAO" unless other credits are given. In that case, credit the appropriate organization(s) or person(s) as they are listed with the image on our site.
If you have further questions, or a special condition, please submit the following:
* = Required Field
Instructions for each field:
Source of Media is required.
"http://chandra.harvard.edu/photo/2005/casa/casa.jpg" or "Stellar Evolution Poster")
Short Request Description is required. Example: "Image of Cassiopeia A"
First Name is required. Example: John
Last Name is required. Example: Smith
The Title is required. Example: Physicist
The Institution is required. Example: Harvard University
Street address is required. Example: 1000 Mass Ave
City is required. Example: Cambridge
Zip is required if the country is the USA Example: 02138
State is required. **Note the Country has to be Selected First
Example:After you Select United States for a country, you can use the drop down menu to select the State
State is required.
Example:New York
The Country is required. Must be selected from the list.
Phone is required, and please enter numbers Only.
Example Please enter only: 6174967941
We will fix the format to (617)496-7941
E-mail is required, and please make sure you enter the right Format;
Example: JohnSmith@msn.com