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Stony Brook University



Maps: Registration Form

Contains resources for maps and geospatial research and instruction

Registration Form

Map Collection

Frank Melville, Jr. Memorial Library, Room N-2003

Stony Brook University

Stony Brook, New York 11794-3301

Tel: (631) 632-1159, Fax: (631) 632-7116

 

 

Map Collection Registration Form

 

 

Full Name: _________________________________________________________

(please print)

 

Address: ___________________________________________________________

 

Telephone: _________________________________ E-mail__________________

 

I.D. Number: ______________________________                 I.D. Type________________

 

Institutional Affiliation: ______________________________________________

 

Description of requested material (title, author, region, publisher, and date):

 

____________________________________________________________________

 

____________________________________________________________________

 

____________________________________________________________________

 

____________________________________________________________________

 

·         This form must be completed by patrons requesting assistance from library staff.

·         If a patron wishes to publish a copy of an item from our collection, the patron must complete this form. If the Library does not retain copyright, we cannot grant permission to publish unless permission has been approved by the copyright owner.

·         Credit shall be given as: Map Collection, Stony Brook University Libraries.

·         An additional fee is assessed for all commercial use of reproductions. The Libraries retain the right to judge what constitutes a scholarly or commercial publication.

·         The researcher assumes all responsibility for observing the laws of copyright and agrees to hold Stony Brook University, its Trustees, Officers, and the Stony Brook Foundation harmless in the event of any loss, damages or expenses incurred as a result of publishing the noted materials.

 

I have read, I understand, and I agree to abide by the rules governing the use of publishing materials as outlined on this form.

 

 

____________________________________________________

Signature of Researcher                                                  Date

 

____________________________________________________

Approved by:                                                                      Date