First Name
Middle Initial
Last Name
Street Address
City
State
Zip
Telephone Number
Email Address
Type of Reproduction
Photocopy Digital Copy Photographic reproduction
Description of materials to be reproduced
In signing this form, I certify that I have read and that I agree to abide by the rules and procedures of the Collection, as expressed in “Application for Use of Special Collections Materials” and the laws of copyright.
Signature
Date [mm/dd/yyyy]
Mon - Fri: 9 am – 5 pm
About the Hamon Library
Directions and Floor Maps
Meet the staff
Circulation Policies
New Titles
