Library digitisation service: request an image to be digitised

Please submit one form per image at least 6 weeks before the required date.
Images need only be applied for if they are required as a separate item, taken out of their original context within the article or book chapter.

You must complete all the fields. Full details about the service are at: http://www.shef.ac.uk/library/eoffprints/

If you require any further assistance, please email readlist@sheffield.ac.uk, or telephone: (0114) 222-7256.

Lecturer's name: (required)

Department: (required)

Email address: (required)

Module number: (required)

Module name: (required)

No. of students taking the module: (required)

Date module starts: (required)

Duration of the module (in weeks): (required)

Author(s) of article/book: (required)

Title of journal/book: (required)

Year of publication: (required)

Publisher: (required)

Page numbers: (required)

Details of image: (required)

Date required by students: (required)