Photocopy Request Form

** For originals up to 11 x 17" only copied on standard white paper. For larger items such as architectural drawings, please see Photocopying maps, architectural drawings and oversized graphic materials.

University of Washington Libraries
Special Collections
Allen Library, Box 352900
Seattle, Washington 98195-2900
Phone: (206) 543-1929
Fax: (206) 543-1931
http://www.lib.washington.edu/specialcollections/

Reproduction Price List (PDF): http://www.lib.washington.edu/specialcollections/services/ReproductionPriceList.pdf


PATRON - Information Required*

Name*  
Mailing address*
or
Campus Mail Box
  Bill to UW budget Acct #:
UW Budget Acct name:
City, State*   Postal Code*
Phone number*   Email*:
Confirm E-mail*:
This e-mail address will be used to confirm your order
WARNING CONCERNING COPYRIGHT RESTRICTIONS: The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be “used for any purpose other than private study, scholarship, or research.” If a use makes a request for, or later uses, a photocopy or reproduction in excess of “fair use,” that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order if, in its judgment, fulfillment of the order would involve violation of copyright law. I have read the conditions under which the material to be copied is made available to me by the University of Washington Libraries’ Special Collections Division. I agree to abide by them and pay for the production and handling of the photocopies. Further, I agree to publish or digitize no portion of these materials without the permission of the author or his/her legal representative and the head of the Division.
By checking this box, I am stating that I have read, understand and agree to the copyright restrictions above*

Call #
Accession #
Collection #
Box #
or
Vol #
Collection Name
or
Book Title
Copying Instructions (tell us what you want us to copy from the specified item/collection and any special instructions)
Book Example
F899 S4 G7 1891

Manuscript Example
Acc: 4791-001

Photograph Example
PH Coll 052
n/a


25


n/a
History of Seattle Washington


American Friends Service Committee Records


Rainier National Park Mountain-Glacier Wonderland Album
Title page, p. 35-48


Box 1, Folder 7


Please darken photographs
       
       
       
       
       

Pickup/Delivery Option (please choose one):
 Please mail my copies to me (shipping and handling fees will apply*)
 I will pick up my copies. Please e-mail or call me when ready.
*Washington residents, add Washington sales tax

Cost/Estimate Option (please choose one):
 I agree to pay all charges incurred for this order (see Reproduction Price List)
 Please send me an estimate before processing my order (this will delay your order)

SUBMIT