NEHGS - Photocopy Order Form

Photocopy Order Form

You may order photocopies by filling out the form below or by downloading and printing a pdf version of the order form and mailing it to us at NEHGS Photocopy Service, 101 Newbury Street, Boston, MA 02116-3007. Note: If you choose the latter option, you must have Adobe Acrobat Reader installed on your computer in order to download the form. You may download it free from their website).

* Required field.

Contact Information
Membership Number: (required for membership discount)
Title:
First Name*:
Middle Initial/Name:
Last Name*:
Mailing address*:
City*:
State/Province*:
Zip/Postal Code*:
Country*:
Email address*:
Telephone number*: (inc. area/intl code)
Fax number: (inc. area/intl code)
Billing Information
Method of Payment*:
Name*: (exactly as it appears on credit card)
Billing Address*:
City*:
State/Province*:
Zip/Postal Code*:
Country*:
Card Number*:
Expiration Date (mm/yy)*:
Card Security Code*:

Photocopy Request Information
Source #1:
Author:
Title:
Call Number:
Page Numbers:
Source #2:
Author:
Title:
Call Number:
Page Numbers:
Source #3:
Author:
Title:
Call Number:
Page Numbers: