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Please return this form to:Heritage Imaging officeThe John Rylands Library150 Deansgate, ManchesterM3 3EHUnited KingdomEnquiries: Tel.: +44 (0)161 306 6559
Fax: +44 (0)161 834 5574email: [email protected]
IMAGING SERVICE ORDER FORM & APPLICATION FOR REPRODUCTION
Please write in BLOCK CAPITALS
SECTION A: YOUR DETAILS
Full NameEmail Address Telephone No. (The University of Manchester staff and students only)Department Library Card No.A Journal Transfer Code must be given if work is being charged to a University of Manchester department _ _ / _ _ _ _ _ / _ _ _ _
Address Details Full Postal Address
Postcode / Zip Code Country (if outside UK)EU Customer VAT No(if applicable)
Address for delivery if prints required ( if different from above )Full Postal Address
Postcode / Zip Code Country (if outside UK)
SECTION B: DETAILS OF INTENDED PUBLICATION (ONLY IF YOU INTEND TO PUBLISH THE IMAGE(S)
Book (Print) ☐ Book (e-book) ☐ Journal /Monograph X Exhibition ☐
Film/TV/DVD ☐ CD/DVD Cover ☐ Newspaper/Magazine ☐ Website ☐
Author
Title: Journal: Bulletin of the John Rylands LibraryPublisher Manchester University PressPrice of Publication: £150 subscription Expected Date of Publication: Intended Print Run: 300
Language World One Language X World Multi-Language ☐
Size Image will appear ¼ page ☐ ½ page X Full page ☐ Double page ☐ Front cover ☐ Back cover ☐
Purpose of Publication Academic/Educational X Commercial ☐ Other (please state)…………………………..
SECTION C: DECLARATION
Please supply me with a copy of the material detailed on this form 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 I will not supply a copy of it to any other person, unless I obtain the prior written permission of the Library and of any copyright holders;
(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.
I understand that if I make a false declaration I shall be liable for infringement of copyright.
I agree to comply with The University of Manchester’s terms and conditions for imaging service applications.
Applicant’s Signature Date
N.B. 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.
SECTION D: DETAILS OF THE ORIGINAL MATERIAL AND THE IMAGING PROCESS REQUIRED
Author / CreatorTitle / DescriptionName of Collection (archives and manuscripts only)Date Pressmark / Ref. No. †
Tick the relevant box to indicate the format you require:
Total no. of images:
Page number(s) or other details of the material to be copied:(please supply as much information as possible)
X Digital: large TIFF☐ Digital: large JPEG (300 dpi)☐ Digital: small JPEG (72 dpi)
………………………………………………
☐ Photographic print (Size on request up to A3)
Other requirements ( e.g. size of photographic prints, deadlines)
Do you require an EXPRESS SERVICE? Yes ☐
† Printed books are identified by a Pressmark, which usually takes the form ‘R124674’. Manuscripts are normally identified by a MS number, e.g. ‘Latin MS 238’. Archives are identified in various ways, with sometimes complex reference codes, e.g. ‘EGT/4/3/6’, ‘Ry.Ch. 3651’, etc.
International orders: prints are normally dispatched by Royal Mail Airsure or International Signed For.
VAT No.: GB 849 7389 56