Xavier University: Library: Archives & Special Collections: Patron Registration Form

Xavier University | Discovery Services

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Archives & Special Collections: Patron Registration form

Use this request form to obtain permission to use Xavier University library archives or special collections.

Please read the Xavier University archives & special collections Patron Use Guidelines before completing this form.

Name:
Email:
Re-enter Email:
Address:
Home Phone:	(123) 456-7890
Work Phone:	(123) 456-7890
Date:
Status:	Please indicate your affiliation status from the selections below. XU Undergraduate Student XU Graduate Student XU Faculty or Staff Member XU Alumnus Other
Intended Use of Materials:
Guidelines:	I have been provided with a copy of Xavier University archives & special collections Patron Use Guidelines. I have read these guidelines, understand them and agree to follow them. Yes: No:

Last updated: August 6, 2012 4:48 PM

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