Digitization Proposal

Please fill in the fields accordingly. The digital copy will be delivered within two to four weeks. We will inform you as soon as the digitized material is available. This service is free of charge.

Mandatory fields are marked with an asterisk (*).

Signature *

Title *

Author/Editor *

Edition

Year of publication

Publisher

ISBN

Remarks

Your contact details

Salutation

Surname, First name *

Email address *

User number

Freie Universität students should enter their student ID number, all others enter the user number on their library card, beginning with "1380E...."

Phone number

Address

Use *

I declare that I intend to use this data exclusively for personal or academic/scientific purposes. I am aware that sharing the data in whole or in part - whether on an electronic storage device, by remote data transmission, or as paper copies - as well as the granting third-party access to the stored data and providing information for commercial purposes are not permitted. In addition, I am aware that any translations, alterations, rearranging or other reorganization of the data are prohibited.

Statement *

I agree that my data entered here may be electronically processed and stored exclusively for the internal processing of the digitisation proposal. I can demand the deletion of my data at any time and without giving reasons.

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Freie Universität Berlin

University Library

Digitization Proposal

Your contact details