Document Delivery Order Form--Dissertations

NOTICE: Warning Concerning Copyright Restrictions

The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted materials. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy is not to be "used for any purpose other than private study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use," that user may be liable for copyright infringement. This institution fully supports all specifications of the copyright law as defined in Title 17, United States Code.

Requester Information -- Please Fill Out Completely and Accurately (*=Absolutely Required)

Name (First, Last):*        Item Not Needed After:

Address:          Department/Major:

City, State, Zip Code:           Status: Student Faculty Staff

Telephone (Include Area Code):*         Your Preferred Method of Contact:

Email Address:           Regular Mail    Email    Phone
After you've completed filling in the above information,
fill in the section below as completely and accurately as possible—
incomplete or inaccurate information will greatly delay or prevent obtaining your information.

DISSERTATION ORDER FORM (*=Required Field)

Thesis Title:*    Author:*

Document No.:

NOTE: Dissertations come unbound in shrink-wrap packaging. Cost for dissertations is $34.00 each, which must be paid (in exact cash or by check) at the time you come to the library to pick up your order(s).

                     Please provide any additional instruction or special information here:

When you have finished keying in the information for your order
and have checked for accuracy and completeness of your
entered information, click the Submit button below the
information box to send; or, if you need to start over, click Reset.