The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted materials.

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.

I assume responsibility for any copyright infringement arising out of any photocopy request or the use of materials requested, and will indemnify, defend, and hold harmless the Regents of the University of California and its officers, agents, and employees, of from and against any and all claims, liability, loss or damage whatsoever arising in any way out of such request or the use of the material requested.

The signature of the individual or a responsible office must appear below, indicating agreement with, and awareness of, the above conditions and warning concerning copyright restrictions.

Signature

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Date

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Company or Institution (if applicable)

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Address

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Phone/Fax

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E-mail

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Name (please print)

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Copy Request (Title, Composer/Collection)

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What is the purpose of your research?

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Mail completed request to:

UCLA Music Library Special Collections

Box 951490

Los Angeles, California 90095-1490