Canadian Agricultural Safety Association (CASA)

Photo User Form

Please fill in the following information:

Organization Name:

Your Name:

Your E-mail:

Your Phone Number:

In what manner do you plan to use the photo(s)? Select as many as applicable.

Newspaper

Training Materials

Magazine

Presentation

Newsletter

Web site

Handout Materials

Other:

Would you like to be added to the Farm Safety network to receive information about free farm safety items and materials?

Yes
No

I have read and agree to all terms of the User Agreement.