WIDENER UNIVERSITY ARCHIVES

Request for Reproduction of Archival Materials Researcher’s Name: _________________________ Date ____________________ Address: ___________________________________________________________ City, State, Zip: _____________________________________________________ Phone: __________________ Fax: ____________________ E-mail: __________________ Material Requested (Include Description of Item, Box Number, and also Folder Number when available) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Intended Use of Material: ______________________________________________ ___________________________________________________________________

The Archives staff will provide patrons with reproductions of certain items from the University’s archival collections. Reproductions are intended for personal or scholarly use. Patrons are responsible for all copyright and permissions matters. For permission to publish materials from the collection, contact the Archives at archives@mail.widener.edu. Revised 2011