Dissertation/Thesis Binding Form

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Author's Contact Information

I have obtained and examined the printed copies of my thesis or dissertation, and they are ready to be bound. I understand it is not the responsibility of the library staff to proofread for spelling errors, placement of pages, etc. I also understand that if, after my thesis is bound, I decide to change anything which requires the thesis to be rebound, I will again be charged the cost of the binding.
*Author's Signature (typed name serves as e-signature):

Contact Person if Author not Receiving/Picking Up All Copies.

There is a $10 postage fee to mail copy(s) - U.S. only.


* Dissertation (Ph.D.)
* Masters' Thesis
* Number of copies:
* Cover color/number: View color options...
* Lettering Color:
A. This should be the same title as listed on your cover page.
B. Please spell out Greek characters.
C. Add italics by highlighting text and pressing (or toggle with ctrl / i)
A. Only your last name and graduation year will be printed on the spine.
B. Please list this information as it should appear.
* How would you like to receive your copies:


$0.00 Number of Copies X $25
$0.00 Postage Fee
$0 Total
* Pay With:
  Credit/Debit Card or eCheck
     We do not accept American Express.
  Cost Center
Cost Center Number:
Please direct payment questions to:
Laura Bashus at ph. 402.559.7080 or lbashus@unmc.edu

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