Photo Upload

To submit a photo, complete the following form:

Tell us who you are:
Your name:	*
Address:
City:
State:			Zip:
Daytime phone:			Evening phone:
Email:	*
Select a photo:
File name:	*
		NOTE: The maximum file size is 8MB. The following file types are accepted: JPG PNG
Describe the photo:
Certify/Authorize:
By checking here, I certify that the photo I am submitting is not copyrighted, or that I am the copyright holder and hereby grant permission to the Village of Roscoe to use the photo in any manner and for any purpose, at its discretion. Furthermore, I agree to indemnify and hold harmless the Village of Roscoe from any claim resulting from the use or distribution of said photo.
Verify:
	Enter the letters and numbers shown to the left in the field to the right. (This helps prevent abuse by automated "robots.")				*

 
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