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Reproduction form

The fields preceded by a * must be completed.

1-Your contact information

Surname *

First name *

Organization

Address *

City *

Postal code *

Language *

Phone *

Extension

Email *

Vos commentaires

2-Basket

Photocopies and digital copies.

Price list of services.

Type of reproduction *

3-Statement of public use

Will you be using the reproductions in a public manner? *

Nature of the project

Title *

Author

Publisher/Producer *

Distributor

Date of publishing *

Approximate print run

Web site address

Project summary (255 characters max.)

4-Delivery

Service level

Type of delivery

Note (255 characters max.)

Surname *

First name *

Organization

Address

City

Postal code

5-Billing

Use contact information at the top of the form

Surname *

First name *

Organization

Address *

City *

Postal code *

Check the price list.

A BAnQ staff member will contact you to confirm the amount of the transaction. The payment must be made in advance.

Vos commentaires - Your comments Country