Application form for permission to prepare reproductions from microfilms of MSS in the Institute of Microfilmed Hebrew Manuscripts

To:.........................................


.........................................


.........................................


.........................................


Date...............

Sir

I am applying to you on the advice of the Institute of Microfilmed Hebrew Manuscripts in the Jewish National and University Library, Jerusalem.

I should like to request permission to prepare reproductions of your Hebrew manuscript,

shelf mark ...............

catalogue number.............

fols. ..... to .....

a microfilm copy of which is found in the Institute. I would be most grateful if you would authorize my request and permit use of the MS for the following purpose.

(mark with an x whichever paragraphs are applicable)