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3. Last Name*
5. Phone Number*
6. Email Address*
8. Ask a Question*
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10. Sources/Repositories previously consulted
11. Referred from another repository
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13. Are you able to visit the Library & Archives in person if necessary*

    1. Yes
    2. No
14. Is your request time sensitive*

    1. Yes
    2. No
15. If yes, what is your time frame
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