Clayton-Glass Library

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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 Phone:
Work/Cell Phone:
Ext.:
Email Address:
Campus Location for Delivery:
Comments:

Warning: Copyright Restrictions
The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a copy or other reproduction for purposes in excess of "fair use," that the user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order, if in its judgment, fulfillment of the order would involve violation of the copyright law.

I understand that there is a $5.00 charge if I don't pick up a requested interlibrary loan.