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CENTER FOR PACIFIC NORTHWEST STUDIES
Western Washington University
Research Application Form
Date:_______________
Name:_______________________________________________
Address:_____________________________________________
Telephone:_______________
E-Mail/Fax__________________
Occupation/Institutional
Affiliation:_______________________
Purpose
of Visit/Research Interest:_______________________
____________________________________________________
____________________________________________________
Is this
your first visit to the Center for Pacific Northwest Studies?
___
I have read and understand and
agree to abide by the regulations governing use and duplication of
materials
Signed:
____________________________________
I would like to receive
email updates re: CPNWS-related news and events:____
Collection
Use (To be completed by staff)
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STAFF
NOTES:
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