Today's Hours:
7:00 am - 1:45 am

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Access Services

Order Form

Fields marked with * are required.

First Name *

Last Name *

NetID *

Address

City

State

Zip

Phone *

E-mail Address *

Are you a:

What would you like to purchase?

Quantity	Item	Price
	CD (regular or music)	$0.50
	DVD	$1.00
	Endnote X5 (Windows)	$75.00 (faculty) $50.00 (grad students)
	Endnote X4 (Mac)	$75.00 (faculty) $50.00 (grad students)
	VHS-C tape	$9.00
	Mini DVC (digital video cassette)	$5.00
	Copy Card	$1.00
	Courtesy Card	$20.00

You will receive a confirmation e-mail with your total.

How would you like to get your materials? *

In person at the Access Services desk
By mail

How would you like to pay? *

Cash (pick-up only!)
Check (If you are paying with a check by mail, please print and complete this form and send it with your payment. Your materials will be sent when we receive and process your payment.)
Credit Card (For credit card payments, call Access Services at (662) 325-7668, or come to the Access Services desk.)
MoneyMate (enter your 9 number: )

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