Alabama Department of Archives & History
MICROFILM DUPLICATION ORDER FORM
Name : ______________________________________________________________________________________________________
Street Address (required for delivery): ____________________________________________________________________________________________________
City: ________________________________________________________________________________________________________
State: _______________________________________________________________________________________________________
Zip Code: ____________________________________________________________________________________________________
Country _____________________________________________________________________________________________________
Email address: ________________________________________________________________________________________
Phone Number (required to complete order): ________________________________________________________________________________________________
COPYING CHARGES
| Cost per roll | Number of rolls ordered | Amount Due for Microfilm
Order |
| $25.00 | $ |
|
International Orders add additional $10.00 for each roll | $__________________________ |
Order form checked and
Money received by ADAH staff member: ________________________________________________________
Each order must list each microfilm roll separately and include the location number (M# or S#)
for each roll. The M or S number is available from the microfilmed newspapers database at:
http://www.archives.alabama.gov/newsmicro/search.cfm, or for probate records at http://www.archives.alabama.gov/localrecords/search.cfm
Please allow 6 - 8 weeks for your order
to be filled.
| TITLE OF COLLECTION | DATE SPAN | LOCATION NUMBER (M# or S#) |
1. ____________________________________________________________________________________________________________ 2. ____________________________________________________________________________________________________________ 3. ____________________________________________________________________________________________________________ 4. ____________________________________________________________________________________________________________ 5. _____________________________________________________________________________________________________________ 6. _____________________________________________________________________________________________________________ 7. _____________________________________________________________________________________________________________ 8.______________________________________________________________________________________________________________ 9.______________________________________________________________________________________________________________ 10. _____________________________________________________________________________________________________________
| order sent | date | rolls received |
FOR ADDITIONAL TITLES
| TITLE OF COLLECTION | DATE SPAN | LOCATION NUMBER (M# or S#) |
1. ____________________________________________________________________________________________________________ 2. ____________________________________________________________________________________________________________ 3. ____________________________________________________________________________________________________________ 4. ____________________________________________________________________________________________________________ 5. _____________________________________________________________________________________________________________ 6. _____________________________________________________________________________________________________________ 7. _____________________________________________________________________________________________________________ 8.______________________________________________________________________________________________________________ 9.______________________________________________________________________________________________________________ 10. _____________________________________________________________________________________________________________