Saint Joseph Hospital

Burlew Medical Library
1100 W. Stewart Dr.

Orange, CA 92863-5600            Registration for Loansome Doc Document Delivery Service

(714 ) 771-8291
(714) 744-8533                            Non-Affiliated Health Professionals

LIBID:    CAUORJ    revised 5/6/02

Name:____________________________________________________________________

Delivery Address:__________________________________________________________

Phone:_______________________     FAX_________________________   

E-Mail__________________

I.                    Payment Deposit Account

Service for Loansome Doc will be available upon receipt in the medical library of a check payable to Saint Joseph Hospital. The minimum deposit account is $100.00.  Depositors will be notified if the deposit account falls to $10.00. If the deposit account is not replenished within 15 days of notice, service may be discontinued. Depositors are encouraged to deposit an amount greater than $100.00 if they plan on fairly frequent utilization of document delivery service.

2. Fees

3. Services not included in above:

   I understand that I am contracting with Burlew Medical Library for document delivery of requests transmitted  only through Loansome Doc. I realize that I am NOT entitled to online research services, reference questions, online search consultations or any other library services outside of document delivery via Loansome Doc.   Literature searches are available to outside users for A FEE OF $25.00/topic.

4. Terms

    Rates, terms and conditions are subject to change by Burlew Medical Library provided that at least thirty (30) days notice is given prior to the effective date of change.  This agreement may be terminated by either party, with or without cause, providing at least thirty (30) days advance written notice is given to the other party. Balance of deposit account will only be refunded to depositor if it exceeds $50.00.

5. Liability

   Loansome Doc depositor agrees to indemnify and hold harmless Burlew Medical Library and Saint Joseph Hospital , Orange,  from any and all claims, damages, judgement, liability, costs or expenses arising out of or incurred in connection with any services performed under this Agreement.

                                                                Notice Warning concerning Copyright Restrictions

The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted materials.

Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of the specified conditions is that the photocopy or reproduction is not to be “used for any purpose other than private study, scholarship, or research.” If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of “fair use,” that user may be liable for copyright infringement.

Saint Joseph Hospital Orange, (Burlew Medical Library) reserves the right to refuse to accept a request if, in its judgement, the filling of the request would involve violation of the copyright law.

The individual below assumes all responsibility for any copyright infringement arising from any photocopy request or the use of requested materials, and will indemnify, defend, and hold harmless Saint Joseph Hospital Orange, Burlew Medical Library, and its officers, agents, and employees, from  any and all claims, liability, loss or damage whatsoever arising in any way from such requests or the use of requested materials.

The signature of the individual or responsible party must appear below to indicate agreement with and awareness of, the above conditions, fees, and copyright restrictions.

____________________________________                       ________________________

Signature                                                                              Date

Company or institution (if applicable)

Address

Amount and date of deposit received__________________________________________