UCI LIBRARIES
PRESERVATION DEPARTMENT
BINDERY PREPARATION SECTION                                   DATE__________
 

I am requesting that the University of California Bookbindery,  Culver City, bind the titles listed below according to the specifications on the enclosed bindery slips.

TITLES:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

I also authorize that this work be charged to our University account number

_________________________, and be returned to the following address:

Name:_____________________________ Department:_______________

Building and Room no:____________________ zot code:________

Authorizing signature for this account:______________________________

Department:______________________________ Phone:____________

Route 2 copies of this completed form with the material to be bound