Dissertation Order Form (DOCTORAL) for Black & White Printing.

GRADUATE SCHOOL REQUIREMENTS
Two unbound copies printed one-sided on archival paper.

Student Information      
  Name:  
  Phone Number:
  Email Address:    
       
Document Information        
  File Transfer:  
        * You can email the pdf to libcopycenter@cornell.edu  
  I have mailed/dropped off my signature page (Signature page must be received prior to printing)
  Color Pages Needed:  (at 25 cents per color page)  
  If YES, list pages by PDF file page numbers (ex. 3, 12, 21)  
   
Order Information:  
(If ordering required materials check the box otherwise enter quantities where desired)
Two required unbound copies ($15 plus $0.07/page)    
  Delivery  
  Field Office:  
  Field Office Contact:  
  Due date: (please allow 2-3 weeks for hardbound)  
     
Additional hard-bound copies ($26.00/book plus $0.07/page)  
  Quantity:  
  Delivery (a $2.50 handling fee will be charged for each ship to address and shipping fees will be added for off campus delivery)
  Address One    
  Name:  
  Street:  
  City:  
  State:  
  Zip:  
       
  Address Two    
  Name:  
  Street:  
  City:  
  State:  
  Zip:  
       
Additional soft-bound copies ($0.07/page plus binding)  
  Quantity:  
  Binding:  
  Delivery (a $2.50 handling fee will be charged for each ship to address and shipping fees will be added for off campus delivery)
  Address One    
  Name:  
  Street:  
  City:  
  State:  
  Zip:  
       
  Address Two    
  Name:  
  Street:  
  City:  
  State:  
  Zip:  
     
Payment Information    
  Payment Method:  
  If using a Cornell Card, enter it here:  
  * If paying by credit card, after submitting this form, please call 607-255-4700. Leave your name, credit card number and expiration date on our secure voice mail. Thank you.
  Other Instructions or Comments:    
 
       
  PLEASE NOTE: Orders are processed in 2-3 weeks for hard bound copies and 2-3 business days for unbound and soft copies.
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