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Interlibrary Loan            Book Request

Please fill out the following form and click Submit: Confirmation will be made by email within 3 business days of receipt of this form.

Name:  
Email:  
Phone/Ext:  
Street:
City/Zip:
Author:  
Title:  Edition:
Source of Information BIP:  Book/Other (name)   
OCLC#  
ISBN
GOV'T DOC #  
ERIC#  

Notice: The material requested may be protected by Copyright Law (Title 17 U.S. code).

CHECK  Student
ONLY  Staff/Faculty
ONE  Community member
CHECK  I am willing to pay up to $10.00 by check for the requested material.
ONE  I want this item only if there is no charge.
   

I will not require this book after the following date:

For library staff only: 

Due date Renewal ID#