Contact the Center of Southwest Studies

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Photoduplication Request Form

1000 Rim Dr., Durango, CO  81301-3999
Phone: 970-247-7456      Fax: 970-247-7422
Website: http://swcenter.fortlewis.edu/ 

Email:
archives@fortlewis.edu

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).


{BELOW IS FOR STAFF USE ONLY}
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: ______/_____/____
SW-18

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Page last modified: August 03, 2007