Galveston and Texas History Center Photoreproduction order form

	Galveston and Texas History Center Rosenberg Library
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MATERIALS REPRODUCTION ORDER FORM

Please carefully read the reproduction policy before you place your order with a staff member. You will be responsible for following all the policy rules.

Please print.

Date: __________________

Name: ____________________________________________________________________________

Company/Organization name: ______________________________________________________

____________________________________________________________________________________

Mailing address: ___________________________________________________________________

____________________________________________________________________________________

Telephone: _________________________________________________________________________

The photos will be used for: _________________________________________________________

_____________________________________________________________________________________

I have fully read the Rosenberg Library’s reproduction policy and will abide by its rules.

Signed: ______________________________________________________________________________

Reproduction fees: ____________________

Use fees: ____________________

Shipping charges: ____________________

Total: ____________________

Order taken by: ________________________

How paid: ______________________________

IMAGE NUMBER

DESCRIPTION OF IMAGE

FORMAT: Neg. or Print (B/W or Color)

REPRINT SIZE

NUMBER OF REPRINTS

UNIT COST

COST

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Galveston and Texas History Center, Rosenberg Library, 2310 Sealy Avenue, Galveston TX 77550
Voice (409) 763-8854 ext. 127- Fax (409) 763-0275

GTHC WebTeam GTHC, Rosenberg Library.

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