Electronic Thesis Request Form

• Please complete the form below.
• Your requester must agree with the Copyright declaration for your order to be processed.
• This form may be used for credit card purchases only.
  • If you wish to pay by cheque please click here

This section is to be completed by the library or organisation ordering the thesis:

If this thesis is for inclusion in a library collection, do you agree to ensure that each person consulting the thesis completes the declaration form included with the thesis?
YES NO

Author:

Title:

Level of thesis:
(Please note that some honours theses are not held by the library)

SELECT ONE... PhD Masters Honours (or equivalent)

Year submitted:

Your Name:

Your full email address:

Postal Address:

Billing Address:

Billing details:

We are not able to provide secure online transactions at this time. For your protection, we ask that you fax your credit card details to us on: +61 8 8201 3916, or phone us on +61 8 8201 2175.

Please supply:

• Card type (Mastercard or Visa)
• Card number
• Name on card
• Expiry date of card
• Amount to be charged (in Australian dollars)

This section is to be completed by the person requesting the thesis

(All fields must be completed)

Name of person requesting the thesis:

Address of person requesting the thesis:

Copyright Declaration and conditions of use:

COPYING BY LIBRARIES AND ARCHIVES OF UNPUBLISHED WORKS (Copyright act section 51) Request for copying of unpublished thesis or similar literary material under section 51 of the Copyright Amendment Act 1980.

To: Officer in charge
Flinders University Library

I request that you provide me with a copy of the above thesis that has not been published.

I require the copy for the purpose of:

RESEARCH STUDY

I agree to give proper acknowledgement to the author of the thesis (by way of citation) for any of his or her ideas, whether quoted exactly or paraphrased

YES NO

I agree to complete all details on the declaration form which is included with the thesis

YES NO

(To avoid delays in processing your order, please remember to advise us of your credit card details by fax or telephone)