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Interlibrary Loan Request Form

Patron Information (Required fields marked with
*
)
The more information you can provide, the easier it will be for us to find your material.


*
Request Type  
*
First Name:  
*
Last Name:  
*
Status:  
*
Phone Number:  
*Mailing Address (street, city, state, zip - faculty /
staff may give department):
 

*
Email address:  

Not needed after this date:
*
Pick-up option:  



Book Information (Required fields marked with
*
)

*
Title of book:  
*
Author(s) / Editor(s) of book (Enter NA if no author is listed):  
ISBN (format is XXXX-XXXX):
Publisher
*Publication Date  
 
Additional Comments:





Type the characters you see below