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InfoExpress Authorization Form for On-Campus Customers

By submitting this form, I authorize InfoExpress staff to charge $3 per photocopied article to my KentLINK account (library "fine" account) or to my departmental or grant account number at the end of each semester. Accrued charges of $25 or more for faculty/staff (or $10 or more for students) on my KentLINK account will result in suspension of borrowing privileges until payment is received. I certify that I am authorized by my department to use the Departmental Account Number I specify and will be responsible for any charges if my Department refuses payment. If I am a Library Representative, I receive $100 in free photocopying services per fiscal year and agree to pay $3 for each photocopied item after $100 has been met.

Name  This field is required
Campus department  This field is required
Building name and number  This field is required
Office phone number  This field is required
Email address  This field is required
Departmental or grant account number  
Numerical digits only

Grant expiration date (if applicable)   / / This field is required