Photocopy Services
UMMC Distance Education Students

UMMC Student Off-Site Access Policy


PHOTOCOPY REQUEST FORM - UMC DISTANCE EDUCATION STUDENT USE ONLY

There is a $3.21 charge per 20 page article for this service. (includes tax)
Pages over 20 are billed 15 cents per page. (plus tax)

To pay by check please print out this form and mail with a check made out to:

ROWLAND MEDICAL LIBRARY
University of Mississippi Medical Center
2500 North State Street
Jackson, MS 39216-4505

NOTICE:
Copyright Law (Title 17 United States Code) governs photocopying. Should be used for study, scholarship or research.

Student Name:     (Required)

Student Address:

Graduate Program: Ph.D. M Year (Required)

DELIVERY METHOD  (Required):

Patron Will Pick Up:     U.S. Mail:    Fax ($1 additional charge): Fax to:

Journal Title:

Author of Article:

Title of Article:

Vol.#: Pages: Year:

Book Title:

Author:

Pages: Copyright Date: