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Library Services - Faxback Photocopy Application Form (Research)

    click here to open the Photocopy Application form in Microsoft Word
     

INNER TEMPLE LIBRARY
Photocopy Application - Research
legal.gif (807 bytes)

To:

 

Librarian and Keeper of Manuscripts
Honourable Society of the Inner Temple
The Library, Inner Temple, London, EC4Y 7DA
Telephone:
Fax:
020-7797 8217
020-7797 8224
020 7583 6030
From:

 

(please complete in block capitals)
Name:
Address:  

 

Telephone:
Fax:
I wish to receive by post/fax/email (please delete as appropriate).
COPYRIGHT DECLARATION
1. Please supply me with a copy of:

 

which I require for the purpose of research or private study.

2. In accordance with the Copyright and Related Rights Regulations 2003 (S.I. 2003 No.2498) I declare that:

(a) I have not previously been supplied with a copy of the same material by you or any other librarian;
(b) I will not use the copy except for research, for a non-commercial purpose or private study and will not supply a copy of it to any other person; and
(c) to the best of my knowledge no other person with whom I work or study has made or intends to make, at or about the same time as this request, a request for substantially the same material for substantially the same purpose.
3. I understand that if the declaration is false in a material particular the copy supplied to me by you will be an infringing copy and that I shall be liable for infringement of copyright as if I had made the copy myself.
4. I agree to pay the standard charges current at the time of my application.
Signature: Date:
This must be the personal signature of the person making the request. A stamped or typewritten signature, or the signature of an agent, is not acceptable.

FOR STAFF USE
No. of copies

By post/fax/email

Charge

Date of receipt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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