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University at Buffalo Libraries

Health Sciences Library
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Application for Use of Display Cases


Date:
Contact person for display:
Department:
Phone number:
FAX: e-mail:
Description of exhibit subject matter and format (continue on back or append extra page if more space is required):







How many display cases will you require?   1   2   3
Dates exhibit is to be on view: from ____________ to ____________
Date and time for display set up: date ____________ time ____________
Date and time for display removal: date ____________ time ____________

Please return, with signed copy of the Guidelines, to: Pamela Rose, Health Sciences Library, South Campus