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Duplication Procedures
This form is also available in pdf format here.
Copies of manuscript and archive materials must be made by a staff member. Please follow these instructions to request photocopies:
FOR BOOKS:
- On “Duplication Request Form” provide author’s name, brief title and page
numbers to be copied.
FOR MANUSCRIPT MATERIALS:
- On “Duplication Request Form” describe item to be copied.
- Please turn the document on end in the folder so that it is visible at the top when folder is closed.
GENERAL REGULATIONS:
- No more than 15% of any book or manuscript collection will be photocopied.
- You may use one form to request copies from more than one book or collection, provided a clear citation is given.
- Requests of 10 or fewer copies will be made while you wait. For larger requests, please arrange to pick-up copies at a later time or have copies mailed to you.
- Turn in form at Service Desk.
- Photocopies may be charged to departmental accounts, but not personal accounts.
| 8.5” x 11” | .20/page |
| 8.5” x 14” | .20/page |
| Shipping and Handling | $3.00 |
| Surcharge (100+ copies) | $5.00 |
SCANNING FEES
| 1 - 10 pages | $3.00 |
| 11 - 20 | $5.00 |
| Over 21 pages | TBD |
REQUEST FOR DUPLICATION
Staff Use Only
| ______ x .20 (# of copies) |
= _______ |
| S&H 3.00 | = _______ |
| Surcharge 5.00 (copies over 100) |
= _______ |
| Total | = _______ |
Staff Use Only-Scanning
| Page Count | = _______ |
Fee Total |
= _______ |
| CD $5.00 (includes S&H) | = _______ |
| Total | = _______ |
_________________________________________________
Name
____________________________________________________________________________
Mailing Address
_________________________________________________
Phone Number
Please read the following and sign below:
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 that order would involve violation of copyright law.
I agree that this copy will be used for private study, scholarship or research. I understand that copyright is not conveyed with this copy. I will not quote from, publish, reproduce, or display any material in this copy in whole or in part without written permission from the copyright holder and the Department of Archives and Special Collections. This copy will not be given to other institutions or sold.
Citations to this copy must identify the location of the original as Archives and Special Collections, J. D. Williams Library, University of Mississippi.
Your signature indicates that you have read, do understand and will abide by the restrictions cited above.
_____________________________________________ ___________________________________
Signature Date
Please complete reverse side of this form. No photocopies will be made until both sides of form are completed.
Name of collection/ |
Heading & folder number/ Author or journal vol & issue # |
Page numbers or description of items to be copied |
# of pages per item |
# of extra copies (after 1st copy) |
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Total number of pages:_______________