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Networking Request Form

Date:



Please complete this form as fully as possible. Our aim is to provide an initial reply to your request within no more than two working weeks.

Name:
Address:
 
 
Town:
Post Code:
Country:
Email:
Fax:
Telephone:
 

Title of Cambridge book

Journal CD- ROM  

Title:


Year of publication:
Book CD-ROM ISBN :
or
Journal volume and issue no:


Please confirm that you have purchased:
a copy of the book/CD-ROM or are a subscriber to the journal

Networking Right Requested

Material to be digitised and networked (give full details including author and article title where appropriate; page number(s) for extract / figure number(s) /etc.):
Term for which right requested (give first and last date on which access to material is desired): First date: Last date:

Intranet site (give details of location(s) from which site may be accessed):

Approximate number of authorised users:


Security (give details of security in place, e.g. access by IP address only):

Usage (e.g. read–only; read and download for private research and study only):

Further details:

 

 

 

Send request to: Cambridge | New York