Microfilm and Microfiche Order Form
 
Fees:
Microfilm: $6.00
Microfiche: $1.00
Renewal Fees:
Microfilm: $6.00
    None for Microfiche
Todays Date

 Library

 
Title of Record
Beginning No.
 Ending No.
 
Patron Information  
Name
e-Mail Address
Phone
Your Barcode
   

* You will receive a bill via email from mforder@suffolk.lib.ny.us.

* Invoice must be paid before order can be processed.

Thank you.

Fees:

$6.00 per microfilm reel
$1.00 per microfiche sheet

Renewal Fees:

$6.00 per reel
Renewal fees do not apply for microfiche.

Authorization
Telephone