Logo Request Form

To request a new or existing logo, please complete the form below.
* Required Information

Requester's Name*
Please type your full name.

E-mail*
Invalid email address.

UAB Unit Name*
Please type the UAB Unit Name.

Example: Office of Public Relations & Marketing


Logo Usage*
What is the use of this image?

If "Other", please describe
Please list the usage of the image.

Additional Information
Invalid Input

Choose a file format for your logo.*
Select the file type needed.

Technical Contact (if different from requester)

Name

E-mail

Phone

Please type in the following characters:*
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