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Application form for photocopies for the Marciana National library

Please send or fax the form below, filled in all its parts, to:

Marsilio Editori
3198, San Marco
30124 Venezia, Italy
FAX: +39 41 5223051

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To the Director of the Biblioteca Nazionale Marciana, Venezia

I ... ... under my responsibility request the photocopy of the work ...... published in the year ... ... call number ... ...

The delivery support will be:

First class mail
Regular mail
Courier
FAX

I will not ask for more than 50 pages of photocopies from this work andI will use them for study and research purposes (cdf. L.633/1941, art.68and Regolamento organico of the Biblioteche Pubbliche Statali, art.69),respecting the Internal Rules for the photocopyoperation.

Date ...
Signature ...
Address ...
Phone ...

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