Cultural Heritage Information Request

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To contact Peter Siegel, please fill out the form below:

Name: *

Company:

Address: *

City: *

State: *

Zip: *

Country: *

Phone: *

Fax:

E-Mail: *

Web Site:

Entity:

Archive

Library

Museum

Historical Society

Gallery

Service Bureau

Consultant

Are you currently digitizing or scanning? Yes No

If yes, please specify:

What do you presently use?

Planetary Scanner	Book Scanner	Flatbed Scanner
Film Scanner	Reprographic Camera	Reprographic System
Digital Scan Back	Digital Camera Back	Other

If other, please specify:

Material Types to Digitize:

	Bound Materials		Works on Paper		Photographic		Paintings		Sculptures
	Photographic Film		Plans		Newspapers		Serials		Other

If other, please specify:

Purchase Plans:

Product Interest:

	DT RG3040 Reprographic System		BC100 Book Capture System
	DT RCam Reprographic Camera

Where did you hear about us?

Comments:

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