Electronic Resources Notification Form

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  GENERAL INFORMATION

  Submitter's Name:        
Submitter's Email:

Title of Resource:

URL:
Do we currently have access? YES  
NO -- If no Access will be available when payment is received
  Access availability in process, we will notify the ERline when completed
Optional: expect access date
Is this resource a:       ISSN (For e-journals only):
Type of Resource:
 Internet   CD-ROM   Other
Subscription Type: Individual order
Package
Part of a package -- Package name
Is this a conditional-free resource? No  Yes -- the conditions for free access are

  ADDITIONAL FORMAT INFORMATION
  Do we collect this resource in other formats at CUL? No Yes
  If yes, should this resource be withdrawn? No Yes, withdraw this title
  Should an existing continuation order be canceled?
 No Yes, cancel this title

   ORDER INFORMATION
  • Ordering information
  Order as continuation? No  -- Cost
Yes -- Cost
  Order Status:
 Place order with Vendor/Publisher by

 

Order has already been placed

There is no need to contact the Vendor/Publisher

Contact the Vendor/Publisher and provide this information:

    

  Subscription Period: Start date End date
  Fund to Charge:
  Amount:
  Special allocations:
  Vendor/Publisher:
  Vendor/Publisher contact information:
  Submit payment to:
  Payee Address:
  Payee contact information: Name Phone
Email
  • invoicing information

An invoice will be sent from the Vendor/Publisher

Request an invoice from the Vendor/Publisher

Credit Card only

Special Payment Deal  Terms:

Other

ACCESS AND HOLDINGS RECORD INFORMATION

Can  this resource be proxied?
Voyager Location Code: Other or second location
Dates of Coverage:
( Include edition, year, or range of coverage dates if applicable )
  Range of IP Address: Not Applicable
  Required Login and Password: User ID Password Not Applicable
  Number of Simultaneous Users permitted:   Not Applicable
  ILL Policy: Will lend  Will not lend
  Archival Rights: Archival Right Obtained   No Archival Rights
  • licensing information
Licensing Terms: Yes, Signed agreement is required
No, Signed agreement is NOT required
Terms of usage statement is available at (URL or additional information)
   
Licensing Status (Check all that apply):
 License waiting to be signed by
License signed and sent to publisher already
License needs to be sent to CIP to file
License has been sent to CIP to file already
  • serials solutions information (For e-journals only)
Serials Solutions Status: Should this resource be added to the Client profile?
 
Yes No Has been added already
Need to get SS number in advance

 ADDITIONAL INFORMATION

         

RECOMMENDED SUBJECTS FOR OR (Do NOT complete for ejournal submissions)

   Enter the codes separated by a comma:  

 
0 Anthropology and Archaeology C3 General Resources

1

Art History and Art

C4 

Geology             

3

Biology

C5

Health Sciences

4 

Business and Economics

C6

History 

5 

Chemistry

C8

Libraries and Library Science

6 

Communications

C9 

Mathematics and Statistics 

7 Computer Science A0 Music
8 Dance and Theatre A1 Philosophy and Religion 
9 Education A2 Physics 
C0 Engineering A3  Political Science and Law
C1  English Language and Literature A4 Psychology 
C2  Foreign Languages and Literatures A7 Sociology

 

* Suggestions for this form? Please email us at culert@list.smu.edu

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Last update: 04/1/2008 aml