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CENTER FOR PACIFIC NORTHWEST STUDIES

Western Washington University

Research Application Form


Date:_______________

Name:_______________________________________________

Address:_____________________________________________

Telephone:_______________ E-Mail/Fax__________________

Occupation/Institutional Affiliation:_______________________

Purpose of Visit/Research Interest:_______________________

____________________________________________________

____________________________________________________

Is this your first visit to the Center for Pacific Northwest Studies? ___

I have read and understand and agree to abide by the regulations governing use and duplication of materials 

Signed:  ____________________________________

I would like to receive email updates re: CPNWS-related news and events:____


Collection Use (To be completed by staff)

Collection Title Box Numbers Duplication Request Fee  
       
       
       
       
       
       
       

STAFF NOTES: