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): | |
_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________
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| 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 |
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