Reproduction request form

Use this form to request photocopies, scans and other copies of Special Collections & University Archives materials. Learn more about copying formats and pricing.

For questions about this service, please email speccoll@uvic.ca.

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Use type

Planned use of materials: Choose... Personal use Commercial use

Contact information

Name:

Email:

Phone:

Street address:

City:

Country:

Postal/ZIP code:

Material to be reproduced

Title or collection name:

Author or creator:

Date:

Call number or record group number:

Box number:

Folder number:

Page range (for printed materials):

Link to the finding aid or catalogue record:

Format

Reproduction format: Choose... Photocopy ($0.50 per page) Low-resolution scan ($0.50 per page) High-resolution scan ($5.00 per scan) Audio-visual materials (at vendor cost) Other (please indicate below)

Other format:

Additional description or comments:

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