(605) 455-6063 Fax: 455-6070
archives@olc.edu
Name (please print)
__________________________________________
Date of Request____________________
Daytime Phone _____________________Fax ________________ E-mail ________________________________
Mailing
Address_______________________________________________________________________________
Type
of Service(s) Requested: ____ Photocopies ____ Microform copies ____ Research ____ Photographic
____
Scanned copies ____ Video copies ____ Audio copies
Source(s): Collection / Title of
Book_______________________________________________________________
Box
#_____________ Folder # _____________
Call #___________ Roll #___________ Object #_____________
Request(s): Description of
item(s)_________________________________________________________________
_____________________________________________________________________________________________
Delivery: ____ Pick-up
____ Mail (hardcopy) ____ Mail
(disk) ____ Fax ____ E-mail
Date Documents Needed: ________________________ (Requests will
be completed as staff time is available. Please allow 2 weeks for all services.
No rush orders are available.)
Fees: _____
Publication Fees ________
(see Fee Schedule & _____ Photocopies @ 15˘ each ________
Publication Fees) _____ Microforms @ $1.00 each ________
_____Groups to research @
$10.00 each ________
_____ Hours to research @ $20.00 each ________
_____ Pages fax delivery @ $2.00 each ________
_____ Pages e-mail delivery @ $2.00 each ________
_____ Images e-mail delivery @ $5.00 each ________
_____ Images on disk @ $5.00 each ________
_____ Disks @ $2.00 each ________
_____ Audiocassette or CD-R @ $5.00 ea. ________
_____ Videocassette or DVD-R @ $8.00 ea ________
_____ Postage fee @ $1.00 per order ________
TOTAL: ________
Payment Method: ____ Cash
____ Credit Card ____ Money
Order ____ Check - # ___________
Date Payment Rec’d
_______________ Date
Documents Delivered _______________
The OLC Archives provides
copies of requested materials with the explicit understanding that the
materials are not to be used for any purpose other than private study,
scholarship or research. If you use these materials for more than any other
“fair use,” you
I, the undersigned, agree to
abide by
SIGNATURE
______________________________________________________________________