Remote Photocopy Request Form by derrickcizzle

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									                           BIDDLE LAW LIBRARY
                 UNIVERSITY OF PENNSYLVANIA LAW SCHOOL

       Application For Copying Materials From The Biddle Law Library Archives
                                  Remote Request


Date:
Name:
Address:
Phone:
Fax:
Material to be copied:

Affiliation (check one)      Penn Student                      Penn Faculty/Staff
Faculty/Student not Penn (name institution):
Other:

The applicant agrees not to publish or further copy or reproduce any document or other
material, in whole or substantial part, unless permitted under the “fair use” or other
relevant provision of the copyright Act, or unless the applicant secures the express
written permission of the holder of copyright or other rights in the material.

The applicant agrees to assume sole and complete responsibility for any infringement of
copyright or other rights regarding the material to be copied.

For copies made and sent out by the Archives staff, if the applicant is neither a student
nor a faculty member, the charges are as follows:

$.50 per page.
$5.00 convenience charge for every 3 citations.

Delivery (check one and/or provide your account number):

                         U.S. Mail:
                         Fed Ex. #:
                           Shipping Option:
                         UPS #:
                           Shipping Option:
                         Fax ($7.00):

I have read and agree to the above conditions for copying material from the Biddle Law
Library Archives.

Signature _______________________________________________________________

								
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