RESEARCH REQUEST FORM
Please print out the form. It may be mailed or faxed to the library. Signature and prepayment required.
NAME__________________________________________________PHONE___________________________
COMPANY_______________________________________________________________________________
ADDRESS________________________________________________________________________________
CITY, STATE, ZIP____________________________________________________________________________
Discover/MC/ VISA/ AE #_______________________________________EXP DATE____________________
MAXIMUM AMOUNT TO BE SPENT for additional photocopies at 25 cents per page _____________________
RESEARCH REQUEST
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__________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Note: Your signature on this document affirms that you will use any/all photocopies from the Colorado Historical Society for research purposes only: not to be transcribed or reproduced without written permission from the owner of the rights to the materials. Signature ___________________________________ Date _______________________ RETURN TO: Stephen H. Hart Library |