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: ____________________________________________________________

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: ____________________

Research/processing fee:_______________

Sales tax (8.25%):_____________________

Use fees: ____________________________

Shipping charges: _____________________

Total: ________________________________

Order taken by: _______________________

How paid: ____________________________

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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