| Date of Transfer: |
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| Office Name: |
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Your Name and Title:
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| Your Phone Number: |
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| Your Email Address: |
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| Primary Creator(s) and users(s) of material: |
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| Number of Boxes: |
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Dates:
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| List of Folders: |
IMPORTANT: Please do not use this form to transmit lists longer than one single-spaced page.
Check this box if you are sending a list of folders via email, then click here to email the list. |
| Are there any copyright issues that we need to consider? |
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| If there are any confidential materials included who may have access to them and how long should they be restricted? |
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