Research Request Form
You may use this form to request a time slot to do independent research or to ask a question of our staff. If you have any questions please contact us at 301-762-0096 or info@peerlessrockville.org
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Email *
Date *
MM
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DD
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YYYY
Name *
Address *
Phone  and email *
Please indicate the reason for your research so that we may better accommodate your request *
Required
What type of research you are interested in? *
Required
Appointment times (you may request multiple time slots if you feel your research will take longer than 90 minutes)
10:30-12:00
12:30 - 2:00
2:00-3:30
Monday
Wednesday
Thursday
For research by staff
 Please understand staff are happy to provide answers to questions where possible, but if the subject is complicated or requires in depth investigation we may be unable to respond or need to charge for services. Please indicate if there is a date by which you need this information. Typical staff response is 3-7 days not including weekends.
My question for the staff: 
Policies - Please acknowledge that you have read and understand these conditions for research at Peerless Rockville Historic Preservation, Ltd.

1. Requests for copies of documents or images from the photo archives will be handled on a case-by-case basis; researchers may be charged a copy fee. See our image reproduction form for additional information.

2. Researchers are subject to the rules and regulations covering U.S. copyright laws, especially use of quoted material.  Permission to examine records is not an authorization to publish them.   Researchers must receive prior written permission to use any material in which Peerless Rockville holds a copyright interest. 

3. Researchers hereby release, discharge, and hold harmless Peerless Rockville Historic Preservation, Ltd. from any and all claims, actions, and demands arising out of or in connection with use of the material, including, without limitation, any and all claims for invasion of privacy or libel.  Peerless Rockville is further released from any responsibility for injury incurred during your use of the Peerless Rockville Collection. 

4. Credit for all images and proprietary material will be acknowledged “From the collection of Peerless Rockville History Preservation, Ltd”. 

5. Researchers are requested to consider submitting a final draft published articles or books for to be included in the Peerless Research Library with acknowledgment to “The Peerless Rockville Collection, Peerless Rockville Historic Preservation, Ltd.”

 I have read the above policies, understand and agree to them.

Name:                                                                                                 Date:

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