RESEARCH APPLICATION FORM

Please complete this form, click the print button at the bottom and return it to:
West Yorkshire Archive Service, Registry of Deeds, Newstead Road, Wakefield, WF1 2DE.

Name
Address
Postcode Daytime telephone
E-mail

Details of research required

Please provide clear and specific details of the search that you require. Please also inform us of any documents that you have already searched.

Length of search required

I would like you to undertake hour(s) or research on my behalf.
(Maximum 3 hours).

Method of payment

Payment please tick and complete as appropriate
I enclose a sterling cheque/international money order made payable to Wakefield Metropolitan District Council.
Please debit my mastercard Visa Maestro Solo for £
Cardnumber

Switch issue no
Valid from     Expiry date
Card security code (last three digits on signature strip on reverse of card)

Signature





Date

COPYRIGHT DECLARATION FORM

To answer your research request, we may send you copies of documents in copyright. If this proves to be the case, I declare that

  1. I have not been supplied by a copy of the same material by you or by any other archivist or librarian.
  2. I will not use the copy except for research or private study and will not supply a copy of it to any other person
  3. (For unpublished works only). To the best of my knowledge the work had not been published before the document was deposited in your archive and the copyright owner has not prohibited copying of the work
  4. (For published works only). To the best of my knowledge no other person with whom I work or study has made or intends to make, at or about the same time as this request, a request for substantially the same material for substantially the same purpose

I understand that if the declaration is false in a material particular the copy supplied to me by you will be an infringing copy and that I shall be liable for infringement of copyright as if I had made the copy myself.

Address
Signature





Date

West Yorkshire Archive Service collects your personal information in order to answer your enquiry and to compile anonymous statistical information about the use of our collections. We do not pass your details to any other organisation, although we may send you information about our own products and services which may be of interest to you. Please tick here if you do not wish to receive such information .

How did you find out about the Research Service? (please tick one)
West Yorkshire Archive Service web site
Contact with West Yorkshire Archive Service office staff
At an outside event (e.g. Family History Fair)
Posters, flyers or leaflets promoting the service
Advertisement in magazine
Article in magazine or newsletter

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