RESEARCH REQUEST FORM
Please print out the form. It may be emailed or mailed. 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 _____________________
MAXIMUM AMOUNT TO BE SPENT for additional
research time at $20.00 per 1/2 hour___________________
RESEARCH REQUEST
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__________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Note: Your signature on this document affirms that you will use any/all photocopies from History Colorado 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: History Clorado |