Image Submission Form

Please include a separate copy of this form with each astrophoto or CCD image you submit to Sky & Telescope or Night Sky for possible publication. Click on the "Printer-friendly version" link above, then print out the page and fill in the blanks.

Contact Information
Name: __________________________________________________
Address: _______________________________________________
         _______________________________________________
Telephone (Day): _______________________________________
          (Evening): ___________________________________
Fax: ___________________________________________________
E-Mail: ________________________________________________
Web Page: ______________________________________________
Image Information
Date: __________________________________________________
Time (Specify Time Zone): ______________________________
Observing Location: ____________________________________
                    ____________________________________
Sky Conditions: ________________________________________
Object's Name or Designation: __________________________
Telescope or Lens Used: ________________________________
Aperture: ______________________________________________
Focal Ratio: ___________________________________________
Camera: ________________________________________________
Film: __________________________________________________
Filter(s): _____________________________________________
Exposure Time(s): ______________________________________
Special Techniques Used: _______________________________
________________________________________________________
________________________________________________________
Other Comments or Description: _________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Warranty
I hereby attest that the enclosed image is my original
work and that I am submitting it to Sky Publishing
to be considered for possible use in its magazine, on the
magazine's Web site, and in other Sky Publishing media.

Signed: _______________________________________________
Date: _________________________________________________