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Photoduplication Request Form
1000 Rim Dr., Durango, CO 81301-3999 |
The Center's historical materials--other than those covered by our General Restriction Policy Statement and any specific restrictions--are accessible to the public. Copies of these materials may be made, unless restricted by federal copyright law and any collection-specific stipulations, for a charge that enables the Center to offer this service.
Name __________________________________ Phone
(_____) ______-________ Email __________________________________
(surname, first, and middle names)
Address
__________________________________________________________________________
(street or P.O. box, city, state,
and zip code)
Institutional Affiliation (if any) __________________________________________
NOTICE: 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 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 judgment, fulfillment of the order would involve violation of copyright law. In compliance with the copyright law, the Center of Southwest Studies limits the number of copies of each item to one. Furthermore, we cannot copy all or substantially all of a work for you unless an unused copy of the work cannot be found at a fair price. In addition, we reserve the right to restrict the use or reproduction of rare, valuable, or fragile items; to ensure that the use of the reproductions is in good taste; and to make special quotations on items involving unusual difficulty in copying; and to charge a use fee for staff time in excess of one half hour to fulfill this reproduction request.
PHOTODUPLICATION
REQUEST
(the basic price for
this
service is $.25 per page for single-sided regular size photocopies plus $5.00
for shipping and handling; for more for info on
fees, see
http://swcenter.fortlewis.edu/SpecialCollections.htm#DistancePhotocopies )
I request reproduction of the materials listed. The following is each
item's identifying number, collection title, and brief description.
Purpose(s) for which the copied
material is to be used:
I agree to use the copied materials only for my private study, scholarship, or research. I understand that it is my responsibility to abide by copyright laws, including obtaining permission from the copyright owner for any other use of the copied materials. I will not duplicate the copied material without securing the permission of the copyright owner. Furthermore, I agree to credit the Center and the collection in any work drawn from my use of the Center's historical materials and to provide the Center a complimentary copy of any publication or production substantially based on the Center's materials.
Special instructions for
reproduction:
Signature of User _________________________________ Date ______________________
Center of Southwest Studies Credit Card Intake Form (on the Web at http://swcenter.fortlewis.edu/Forms/sw-93.htm ) enables users to make payment to the Center by using a credit card (in person, by letter, by phone, or by fax -- but not by email, due to security considerations).
| Reproduction cost ( ___ pages @ $.25): | $_______._____ | Date copies mailed: ______/_____/____ |
| Handling/ mailing fee: | $______5.00 | Center of Southwest Studies User #________ |
| Use fee: | $_______._____ | Payable to: Fort Lewis College |
| Total payment due: | $_______._____ | Payment received by (staff initials) _______ |
| Amount paid: | $_______._____ | Date received payment: ______/_____/____ |
Information for doing research at the Center of Southwest Studies