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RECEIPT OF A COURSE PACKET



Subject:     Course Number

Course Name:

Name of Lecturer: Telephone #:

Name of Person bringing it in: Telephone #:

Date brought in: Date required:

Email:
Copy Mode:
Paper type:
 Other:
Binding:
Front Cover:
Card Stock Color

Back Cover:
Card Stock Color

May we number the pages consecutively
 Yes No
Do you wish the original to be “cleaned”?
Copyright:
 Yes No   Copyright Form
How many students taking the course:
Do you need courspack for TA / Prof.
 Yes No  If so, how many:
Bill Department:
 Yes No      or
Include payment in Student Copies

If Bill department, Name & address, Reference:
Do you want us to delivery
 Originals: Yes No
Lecturer’s copies: Yes No

If so, Address:
Date Needed:
Do you want originals pick up by us?
 Yes No
If so, Address:
Pick up date:

We have course originals on file: Yes No

The signatory (CUSTOMER) is the owner of the copyright(s) for the material included in this course packet or the CUSTOMER has written permission from the copyright owner(s) to produce copies of such material. As Such, CUSTOMER represents and warrants that CUSTOMER has the legal right to permit Gnomon Copy to reproduce the materials, and CUSTOMER hereby unconditionally grants such permission to Gnomon Copy. Additionally, CUSTOMER agrees to indemnify Gnomon Copy and Gnomon Copy’s officers, agents, owners, employees and assigns from and against any and all claims, demands, liabilities, and related costs and expenses (including legal fees and expenses) in connection with any copyright infringement or other claim based on Gnomon Copy’s reproduction of the materials requested by CUSTOMER.

If number of copies are guaranteed, and they are not sold, the signatory and/or Lecturer and /or Department shall be liable for payment in full of all unsold copies. Source material will be held for a maximum of one year from date of receipt.

PLEASE NOTE: You are requested to advise students that the Course packets are at this location only, Gnomon Copy, Harvard Square, 1308 Mass Avenue., situated across from Widener Library.

 
 

Harvard Square - Cambridge
1308 Massachusetts Avenue, Cambridge, MA. 02138 – 617-491-1111 – fax 617-492-2223 – gnomon@aol.com
Hours: Mon-Fri 8.00am-11.00pm – Saturday 9.00am-7.00pm – Sunday 11.00am-7.00 pm

Near Tufts University - Medford
348 Boston Ave, Medford, MA. 02155 – 781-391-6666 – fax 781-391-7166 – gnomonmed@aol.com
Hours: Mon-Fri 8.00am-5.00pm – Saturday-closed – Sunday-closed