Archives & Special Collections Reproduction Request Form Full Name:*Street Address:*Town or City:*State*Zipcode (Country if not U.S.):*Institutional affiliation:Email:*Telephone:*Name of collection or URL of webpage from which you want reproductions:*Specific box/folder/item for which you want reproductions:*Directions and/or questions about reproduction request:Format and resolution of reproduction(s):*Low resolution pdf ($.25 per exposure)300 dpi tiff ($7.00 per exposure)600 dpi tiff ($10.00 per exposure)Intended use for reproduction(s):*Student paper or projectMaster's thesis or dissertationArticleBookWebsiteDescription and purpose of project:*Method of payment:*CheckCredit card (do not give us credit card information at this time)KFS accountA Note Regarding Check Payments: Due to the way financial transactions are processed by the University, check payments must pass through several departments outside of the Archives for approval. Delivery of an order is made once we receive notice of payment, regardless of payment method. Therefore, while we are certainly capable of processing payments made by check, please note that there will be a delay in the delivery of your scans if you choose this option. By contrast, our online transaction system (used for credit card payments only) is able to notify us directly when payment is submitted. We do NOT retain credit card or any other personal information when patrons use this method.Reproduction Policy: • Reproductions are made available for research, teaching and private study. • Reproductions are made available for one-time use for the purpose stated in this agreement. • Each researcher must assume full responsibility for any legal questions that may arise as a result of use of the reproductions. • Reproductions may not be further copied or made available to another researcher without prior permission. • Reproductions will not be made if materials might be damaged by the reproduction process or if reproduction has been restricted by donor agreement. • Permission to publish or use reproductions for any commercial purpose must be obtained in writing.Notice concerning Copyright Restrictions: The copyright law of the United States (Title 17, United States Code) governs the making of reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a reproduction. One of these specified conditions is that the reproduction is not to be “used for any purpose other than private study, scholarship, or research.” If a user makes a request for, or later uses, a reproduction for purposes in excess of “fair use,” that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a reproduction order if, in its judgment, fulfillment of the order would involve violation of copyright law. Clicking the "Submit" button indicates that you accept and will comply with the following: I have read and agree to the reproduction use policy. I indemnify and hold harmless the University of Connecticut and its officers, employees, and agents from and against all claims and actions arising out of my use of the reproductions. I understand and accept the Reproduction Policy and the Notice concerning Copyright Restrictions.