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Thesis, Essay, and Dissertation Binding Form
Allen Library
Please fill out this form neatly and completely. You may fill the Online Form out before printing. There is usually a 30-60 day turnaround on binding theses, essays, and dissertations. When considering the number of theses, essays, and dissertations to be bound, please remember that two copies (to be supplied by the student on acid-free paper) are held at the Library for patron use.

Student Name _____________________________________________
Phone ___________ Email Address ____________________________
Degree Received _______________________ Year Conferred ______
Title of Thesis _____________________________________________

No. - 8½" x 11" copies with spine ONLY lettering __ x $15
$_____
No. - 8½" x 11" copies with spine & cover lettering __ x $25 $_____
No. - 8½" x 14" copies with spine ONLY lettering __ x $20 $_____
No. - 8½" x 14" copies with spine & cover lettering __ x $30 $_____
No. - 11 x 17" copies with spine ONLY lettering __ x $30 $_____
No. - 11 x 17" copies with spine & cover lettering __ x $40 $_____
Total Cost of Binding/Amount of Check $_____
Note: Make checks for binding payable to Allen Memorial Library.
Please answer the following questions:

Have you double-checked page order and orientation on each copy? 		______
Are the two copies to be retained by the library on acid-free paper and copied single-sided (music compositions may be double-sided)? ______
Is EACH copy signed by ALL advisors? ______
A copy of this form is being provided to you as your receipt. Do not write in the area below.
Microfilm/Copyright Cost $_____ Payment Received
$_____
Binder Cost $_____ Payment Received
$_____
Date Received ______ Date due from Bindery:
_________

Contact Brooke Lippy at 860.768.4404 for additional information.



Last Updated on 1/10/2008 12:19:30 PM