Fillable PHOTOGRAPHIC SERVICES INFORMATION AND ORDER FORM ... - bancroft berkeley

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PHOTOGRAPHIC SERVICES INFORMATION AND ORDER FORM Attn: Photographic Duplication Office The Bancroft Library, University of California, Berkeley, CA 94720-6000 (tel: 510-643-4594, fax: 510-642-7589) Signature: Telephone: (Signature is required and signifies agreement with the copyright restrictions on the reverse of this form.) Printed Name: Date Mailing Address:
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