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Montgomery, AL 36104-5714

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334-229-4106
Fax: 334-229-4940

Library Home > Library Departments > Media Center > Media Duplication Request Form

Alabama State University
Media Center
Media Duplication Request Form
Phone: (334) 229-6848/4729

 

You may use this form to request that a multimedia format be duplicated by the Educational Media Center. If you have any questions you may contact us at 334-229-4729 or 334-229-68448.

Name:

Phone:

Email Address :

Connection to ASU:

Material to be Duplicated

Brief description of material to be duplicated (i.e. title, length, etc)

Number of Copies Requested:

Number of blank tapes or other media provided by patron:

Number of blank tapes or other media provided by EMC: