Canadian Operating Room Nursing Journal (CORNJ)
Photo/Diagram Release

Please use the following form to submit any photos, diagrams or charts for use in the Journal. If these photos pertain to an already submitted article, please reference the article title. If you do not have electronic versions of your photos, you can alternately complete a printable version of this form (En Français) and mail it with your photos.

Your Information
Name:
Home Address:
E-mail Address:
Telephone:
(with area code)
Article Information
Photo:
Caption:
Photo:
Caption:
Photo:
Caption:
Photo:
Caption:
Photo:
Caption:
Photographer/Owner Name or Company Name:
(as it should appear in the photo credit)
License of Copyright

I agree to the above terms and affirm I have the copyright owner's permission to submit the above photos.

Security Question: