Casual Reading Application for use of the
Kilby Reading Room
Title
Please Select
Dr.
Mr.
Mrs.
Ms.
Prof.
First Name
*
Last Name
*
Street Address
*
Street Address, Line 2
City
*
State/Province
*
Postal/Zip Code
*
Country (if non-US)
Phone Number
Email Address
*
Purpose of Visit (author or area of research)
Anticipated Usage(dates you plan to use the Wade Center)
Note that this form is active for the current calendar. If you return to Wade Center after today and before January, simply tell the desk attendant you have a form already on file.
I request permission to use the Marion E. Wade Center for the project described above. I have read the regulations for the use of the Center and I agree to the terms. Reading Room Guidelines
*
I agree that typing my name below constitutes my digital signature
Signature
*
Date
*
Please add me to the Wade Center email list for news and events
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