Wufoo
Maps, Manuscripts & More Reproduction Request Form
Required Conditions: Payment in Advance and a signed
Image Reproduction Agreement Form
must be returned before images will be released. The form can be printed, completed, scanned, and emailed to the Photographs Manager at
wvrhcphotos@mail.wvu.edu
, or it can be mailed to the following address:
Photographs Manager
West Virginia & Regional History Center
West Virginia University Libraries
PO Box 6069 - 1549 University Ave
Morgantown, WV 26506-6069
You will receive an invoice in the reply email after your order has been submitted. For rates, see our
Fees
page. Please allow up to 3 weeks for the completion of your image order--if you need it sooner, please note your rush request in the Additional Notes field of your order, below.
Contact Information
Name
*
First
Last
Organization (if any)
Email
*
Phone Number
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Address
Street Address
Address Line 2
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Country
Delivery Method
*
Pick-up
Mail
Electronic delivery (digital files only)
Items Requested
Please provide information for each reproduction request; you can request ten items per form.
(If you are requesting an item from the Map Collection, put Map in the A&M number field.)
Request 1
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 2
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 3
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 4
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 5
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 6
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 7
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 8
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 9
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Request 10
A&M Number (required)
Box and Folder Number (if any)
Title or Description
Date(s)
Format and Other Details: Prints
Please fill out this section if you are requesting prints.
Number of Prints Requested
Size (All items will be reproduced at their original size unless otherwise requested. If you wish to select a size other than the original please select from the following options.)
5 x 7
8 x 10
11 x 14
13 x 19
16 x 20
17 x 22
Oversize (charge is calculated on a case-by-case basis)
Paper Finish
glossy
semi-gloss (luster)
matte
Format and Other Details: Digital Files
Please fill out this section if you are requesting digital files. Please note that digital files cannot be emailed due to file size, but can be provided electronically.
All images are 600 DPI unless otherwise requeted.
Number of Digital Files
Special Requests
Editing of digital files (describe edits required below)
DPI higher than 600 (indicate DPI requested below)
Special Request Details
Use of Images
For our records, please explain who you are and why you are requesting WVRHC images:
Please note carefully the requirements and details stated in the Image Reproduction Agreement Form. The WVRHC does not, cannot, and will not warrant or represent that it owns all rights to images within the WVRHC. Responsibility for determining if additional permissions are needed from rights holders for use of images and for securing permissions in regard to matters including but not limited to copyright and invasion of privacy is assumed by the patron requesting the materials. The patron will provide the below information and complete the Image Reproduction Agreement form.
Are you a/an:
Individual/Independent researcher
Academic researcher
Nonprofit organization
Commercial organization
Why you are requesting these images:
Personal research
Academic research
Print publication
Electronic publication
Exhibit
Website
Documentary
Slide show/presentation
Other (please describe use below)
Please explain your use in detail
Additional Information
Do Not Fill This Out
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