Interlibrary Loan Request Form

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Patron Name: *
Patron ID Number:
Patron Phone Number: *
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Describe the item you want
Author/Actor: *
Title: *
Publisher:
Date of Publication:
ISBN:
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Not Wanted After Date:
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Material Type:
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Are you willing to pay a fee for postage?
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Where did you find this item cited?
Examples are Dissertation Abstracts, Dialog (specify which database), or a specific journal or book.
Date of the work that cited the item:
Volume # of the work that cited the item:
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