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Interlibrary Loan Request Form

NOTE: Please supply complete information. Failure to do so may result in a delay or the requestor may have to be contacted for more information.

Book:

Book Title:
Author:
Publisher:
Edition:
Year:
ISBN:

Periodical:

Title of Article:
Title of Magazine/Journal:
Author:
Volume:
Date:
Number (Issue):
Page(s):

Requestor:

Faculty/Staff/Student/Community User:
Name: *
Physical Address: *
City: *
State:
Zip: *
Home/Cell Phone: *
Work Phone:
Ext.:
Email Address: *
Campus Location for Delivery: *

*Requiered Field

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