IMSS: DPU Order Form - Cleveland State University

Integrated Media Systems & Services

Your Name:

Are you CSU faculty, staff or student?

Yes

Today's Date:

Professional Title:

Company Name:

Address:

City:

State :

Zip Code :

Home Phone :

Business Phone :

Email:

Photo identification number:
(found in description below image in Cleveland Memory)

Format Preference:

Additional Information:

How would you prefer to be contacted?:

Best time to reach you by phone:

I certify that I have read and understand the CSU Acknowledgement & Copyright Use of Special Collections Materials and the List of fees

Mailing Address
Cleveland State University
Digital Production Unit
2121 Euclid Avenue, RT 807
Cleveland, OH 44115-2214

Campus Location
Rhodes Tower 807
2121 Euclid Avenue
Phone: 216.687.6954
Fax: 216.687.9328 or 216.687.5149

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