REPRODUCTION REQUEST FORM
35mm slide to slide copies ONLY.
FEE: $5.00 per slide (covers handling/service fee, cost of copy, and postage).
Payment must accompany postal mailed request form & be sent to:
Reference Department
Michigan City Public Library
100 E. 4th Street
Michigan City, IN 46360
Make check or money order payable to Michigan City Public Library.
Walk-in customers are charged a $3.00 handling/service fee plus the cost of copies. Handling/service fee must be paid at time of request submission.
Cost of copies must be paid when items are picked up.
Slide #(s):
NAME (please print):
ADDRESS (please print):
Email:
Phone:
Signature:
Date:
LIBRARY USE ONLY
:Fee Paid
(check box) Request Taken By ________ To Store On________ (date) By________(initials)