Researcher Registration

Please read the Reading Room Guidelines and complete all applicable sections (please print):
Date:____________________
Name:_______________________________________________________________________________
Institutional/professional affiliation and/or field of study:
_____________________________________________________________________________________
Email
address:______________________________________________________________________________
Permanent home address:
_____________________________________________________________________________________
Temporary local address (for visiting researchers):
_____________________________________________________________________________________
Phone (home/cell):____________________________Phone (work):____________________________
Copy of photo ID:
I have read the Reading Room Guidelines and agree to abide by all listed regulations. I accept
responsibility for the safe handling and return of all materials used.
Signature:____________________________________________________Date:___________________