Washington University Libraries
Department of Special Collections
Manuscript Division
REQUEST FOR REPRODUCTION OF MANUSCRIPT MATERIALS
The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted materials.
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 user makes a request for, or later uses, a photocopy or reproduction for purposes 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 judgement, fulfillment of the order would involve violation of copyright law.
| Name: | Street Address: |
| Institution: | City/State/Zip: |
| Phone: | |
| Delivery instructions: | Type of duplication: |
| __ pick up at Special Collections | __ paper copies (10 cents an image) |
| __ U.S. Mail* | __ 35mm color slides ($5.00 an image)** |
| __ Express Mail* | __ 4x5 b&w neg., ($15.00 an image)** |
| __ digital image ($15.00 an image)** | |
| __ A/V duplication (at cost)*** | |
| * Delivery will be charged at cost. | |
| ** Publishable images may require written permission of the copyright holder. | |
| *** Audio and video duplication requires written permission of the copyright holder. | |
I agree to abide by all the rules and directives given above and pay all fees assessed.
Signature _________________________________________ Date:__________
| Collection/Volume | Call# or Series Designation | Pages/Images | Special instructions |