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Photographic Resources
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Order Form (online)

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Photo Resources Order Form



Download a printable version of this form that can be mailed or faxed.

Items marked with an * are required.

 Sold to:
 First name *
 Last name *
 Department (if any)
 Institution (if any)
 Street address *
 Street address 2
 City *
 State/Province
 Zip code
 Country *
 E-mail address *
 Phone number *
 Fax number
 Ship to (if different from Sold to):
 First name
 Last name
 Department (if any)
 Institution (if any)
 Street address
 Street address 2
 City
 State/Province
 Zip code
 Country
 Email address
 Phone Number
 Fax Number
   
 Item Requested (specific information is needed):
 Call number
 Microfilm number
 Author
 Title
 Imprint
 Type of reproduction
   
 Instructions (page numbers, plate numbers, special cropping):
 Instructions
 Comments, questions
 Please indicate the intended use of your photograph*:    
Research       Publication
   
 Copyright Information
Copyright material will not be reproduced without signed permission from the copyright owner. Such authorization must be obtained by the applicant for photography work and must cover the specific use to be made of the copyright material.

Cost estimates will be sent to the "sold to" address unless otherwise requested.

Prepayment is required. If payment is to be made by a university or other institution, an official confirming order from the institution is required. Orders will be held until such confirmation is received.

After prepayment, allow four to six weeks for delivery on most orders.
   
 Verification
 Verify Text: * Re-type the uppercase letters and numbers below
   
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