Image Reproduction Form

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Full name*

First NameLast Name
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Images Requested
Type of image
Image 1
Title of Image 1
Date
Author/Collection
Call Number
Record ID
Description/special instructions:
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Image 2
Title of Image 2
Date
Author/Collection
Call Number
Record ID
Description/special instructions:
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Image 3
Title of Image 3
Date
Author/Collection
Call Number
Record ID
Description/ special instructions (i.e., crop of image only, include text, open sperad, full page only, flat image)
Upload Reference Image 3

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Order Details

Rush Order (additional cost)Email low resolution jpeg files (research only)Email pdf (research only)Send me high resolution files via OneDriveI prefer to have my files mailed to me on a USB flash drive
Intended Use
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Publication printPublication ebookPromotional useExhibitionCatalogPeriodicalScholarly JournalStudy ImageTelevision/broadcast/filmTextbookWebsiteOtherOther
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