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Copyright Assistance
 
Copyright Requestor Information Form
Also see:
Instructions for Filling in Copyright Request Forms for Course Pack Material/Classroom Handouts

Complete one requestor information form per class being taught. Information needed on the Requestor Information Form is your name, address, phone number, e-mail address, course number and title, and the beginning and ending dates of the class. This form also lets you detail your requirements for copying your course pack (e.g., stapling, shrink-wrapping, etc.). Please note that it is standard operating procedure to put the course pack in order alphabetically by authors’ last names. If you prefer some other order, please specify.
Copyright Requestor Information Form
Note: Form field lengths allow more characters than shown; just continue typing. Click the "Submit Request" button after you in fill the form.
Instructor:
Address Line 1:
Address Line 2:
Address Line 3:
Office Phone #:
Home Phone #:
E-mail Address:
Course # and Title:
Course Starts:
Course Ends:
Photocopy Requests
Note: It is standard procedure to place the course pack in order alphabetically by author; if you prefer some other order, please specify in "Other instruction" field, below.
Copy Center Requirements for Copying
Number of copies:
Course Reference Number (CRN):
Stapling
Three-hole drill
Shrink-wrap
Print two-sided
Print one-sided
I would like a copy of the course pack sent to me: 
Yes
 
No
Other instruction:
If you would like a copy of this form, provide the full email address address to which you would like the copy sent:
    

 

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