Microfilm Duplication Service

Microfilm Duplication Request Form

 

Please submit a separate form for EACH title (A number) that you are requesting.

All fields must be completed. If you do not have information for a field, please type none in the box.

Your name:
Your email address:
Your phone number:
Your institution:
Purchase order number:

Billing Address:

Shipping Address:



Enter the information that you found in the UW Microfilm Print Masters Inventory in the spaces below.

Title:
Call number (ex., A419):
Reel numbers (ex., 1-5, 8, 10, 12-15):
Date Span (ex., 1/1/1997-12/29/1999):
Number of copies of each reel:
Positive or Negative microfilm?

Special Instructions:



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Last modified: Sunday August 29, 2004 (jalbano)