OF
OFFICE USE ONLY
Reproduction Fees ______
Research Fee (if applicable) ______
Other Fees ______
Subtotal ______
Rush Fee (Subtotal X 2) ______
Total ______
Reproduction Request Form
Print Materials
Type of Reproduction
Photocopy
Digital *
* Digital reproductions available for
Special Collections materials only
If digital, specify format:
TIFF (600 ppi)
JPEG (72 ppi)
Name
Organization
PDF
Address
City
State
Phone
Postal Code
E-mail
Delivery Method
Standard (USPS)
E-mail *
Rush
* File size permitting
File Sharing Service
Item ID# / Call Number
Title
Continue on back as needed. For large orders or multiple requests, an hourly Research Fee may apply.
Additional Instructions:
Make check or money order payable to:
Mail requests to:
Middle Tennessee State University
Center for Popular Music
MTSU, P.O. Box 41
Murfreesboro, TN 37132
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 material.
Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these
specificconditions is that the photocopy or reproduction 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 reserves the right to refuse a copying order if, in its judgment, fulfillment of the order would involve violation of copyright law.
I affirm that this reproduction order is in compliance with US copyright law.
Signature ____________________________________________________________ Date ______________________________
08/2014