Please fill out the following form and click 'Submit'. Confirmation will be made by email within 3 business days of receipt of this form.  Please use the Request Magazine/Journal Articles Form for items other than books.  If you are having trouble completing this form please contact us for assistance via email at library@palomar.edu or call us at 760-744-1150 ext. 2612.

Interlibrary request forms are also available at San Marcos campus Library and at the Escondido Center Library.

Your First Name:
Your Last 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).

Please indicate if you are a student, staff/faculty or community member.  Please check only one.

 Student
 Staff/Faculty
 Community member

Please select one of the following.

 I am willing to pay up to $10.00 by check for the requested material.
 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#