Departmental Copy Card Request Form

Please be prepared to show current
Stanford ID when picking up blank copy cards.

DATE:

DEPARTMENT OR LAB GROUP:
(PLEASE PRINT)

CAMPUS ADDRESS:

TELEPHONE #: (INCLUDING AREA CODE)

NUMBER OF CARDS REQUESTED:

REQUESTOR'S NAME:
(MUST BE PRINTED)

___________________________________________________________________
(SIGNATURE)

COMMENTS:

To obtain blank cards, take completed form to Green Library Privileges, Monday - Friday, 8am to 5pm.
Monies are added to cards in departmental journal transfer.