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Publication & Broadcast Form

Permissions description.

Use of Image
Enter "n/a" if not relevant.
Please estimate to the best of your ability when your work will be published.
Item Information
Item Request
Individual item.
Item title / call number / item id
Book location.
Item Request
Individual item.
Item title / call number / item id
Book location.
Patron Information
Refresh Type the characters you see in this picture. Type the characters you see in the picture; if you can't read them, submit the form and a new image will be generated. Not case sensitive.  Switch to audio verification.