Copy Center Request Form
Phone: 745-9739 x4 • Fax: 907-745-9711
Email: msc.copy.center@alaska.edu
Please allow 3 days turnaround time.
COPYRIGHT RESTRICTIONS: The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of
copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified
conditions is that the photocopy or reproduction is not to be used for any purpose other than private study, scholarship, or research. If a user makes a request for, or later
uses, a photocopy or reproduction for purposes in excess of “fair use”, that user may be liable for copyright infringement. This institution reserves the right to refuse to accept
a copying order if, in its judgment, fulfillment of the order would involve violation of copyright law.
Step 1 Job Information:
Title or type of Original:
□ Confidential
Date Submitted:
Original Consists of ______________ pgs
(Count both sides of a 2-sided document)
Sets of Copies:
Date Needed:
Time Needed:
Step 2 Job Finishing and Special Instructions:
Black & White
Large-Scale printing
(please specify size)
24" max height or width
Laminate
2-sided
Binding
Scan
Single left staple
Tri-Fold
Booklet Format
Special Instructions: NOTE: other services available--please inquire at 745-9739 x4
Step 3 Customer Information:
Name:
Department:
Course (Subj/Course #/Section):
Number of students enrolled:
Signature:
Contact Number:
Copy Center Use Only
Fund:
Org:
Acct:
Total Copies:
November 2019