Section 1 of 4 in this document

Plotter Printer Request

Contact Information

Library Card Number

Phone Number

Section 2 of 4 in this document

What will you be printing ?

File Name

Brief Description of Object

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Section 3 of 4 in this document

Agreement to terms

I have read and agree to the terms of use and restrictions as laid out in the Plotter Printer Procedures. I certify that the file I am presenting to the Wayne County Public Library for printing on their plotter printer was obtained legally and is not proprietary material. I agree to hold the Wayne County Public Library harmless for the quality and integrity of the print produced from the file I have provided.

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First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.