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Borrowing & Ordering
About UsPlease complete the following form and fax it to (212) 722-7650, or mail it to:
The New York Academy of Medicine Library
1216 Fifth Avenue
New York, NY 10029-5293
Contact Information
Name _________________________________________________________
Address _______________________________________________________
City __________________State _______________ Zip Code ____________
Telephone _______________________ Fax__________________________
Payment Information
Credit Card # ___________________________________ Exp ___________
Name on Card __________________________________________________
Delivery Schedule and Fees
| Delivery | Turn Around | Charge | ||
| Fax/Email | Same Day* | $50/article | ||
| Fax/Email | Next day or any other day | $40/article | ||
| U.S. Mail | 3-5 business days | $30/article |
(*Not guaranteed)
Copyright fees, as assigned by the Copyright Clearance Center, are charged in addition to NYAM fees
Delivery Information
Please check off your preferred method of delivery.
[ ] Fax/Email Please provide fax/email for delivery. ____________________
[ ] FedEx Your Acct. # _________________
Shipping Address (if different from above)
Name __________________________________________________________
Address ________________________________________________________
City __________________State _______________ Zip Code _____________
ATTN: _________________________________________________________
Items
You may only request up to ten (10) items per order from the Academy Library. You may only have one(1) order in process at a time.
| Item 1 Author
_________________________________________ |
| Item 2 Author
_________________________________________ |
| Item 3 Author
_________________________________________ |
| Item 4 Author
_________________________________________ |
| Item 5 Author
_________________________________________ |
| Item 6 Author
_________________________________________ |
| Item 7 Author
_________________________________________ |
| Item 8 Author
_________________________________________ |
| Item 9 Author
_________________________________________ |
| Item 10 Author
_________________________________________ |
