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Request for use of special collections materials in the Delaney Southwest Research Library

Website: http://swcenter.fortlewis.edu/
Email: archives@fortlewis.edu

This form and the User Registration Form must be completed before materials from the Center's Special Collections and Archives can be used. Use additional Request forms as needed.  (We  have this form available at the reference counter at the Delaney Library where you will be using the materials.)


DATE OF REQUEST______/ _____/ ____
                                                 Month      Day       Year
NAME____________________________________________
                   Surname                             First                     Middle

MATERIALS REQUESTED:
 

Title of item(s) requested (i.e., collection title and folder title)
Collection/Record Group/Series/Box/Folder #, 
or Collection # and Roll #s 
# Items 
Pulled by
(staff use only)
(1) * * *
________
(2) ' ' '
________
(3) * * *
________
(4) ' ' '
________
(5) * * *
________
(6) ' ' '
________
(7) * * *
________
Used in Research Room by_______________________________
(user's signature)
Returned to___________
(staff initials)
Date used at the Center: _________/ ____ / _____
Date returned _________/ ____ / _____
form SW-16

Information for doing research at the Center of Southwest Studies

Center of Southwest Studies

Page last modified: February 24, 2000