Use this form to request an image to be scanned from a library book and added to the Digital Image Database. You will need to enter the book's title, author, and call number; as well as the image's fig. number, page number and a description of where the image is placed on the page.

Enter your contact information below

  Last Name:

  First Name:

           Email:

Enter the book information below.
 *Submit a new form for each book.

             Title:

        Author:

Call Number:

Enter the image information below.
 *If there is more than one image per page, please indicate placement using:
    Top     Center     Bottom     Left     Right

                         Page #              Fig #                Placement
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