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ILL Form
Interlibrary Loan Request Form
There is a fee of 50 cents for each interlibrary loan request.
* Denotes required field
First Name: *
Last Name: *
Email: *
Phone: *
Library Card Number: *
If there is an additonal charge for this item, I will pay:
$0.00
$5.00
$10.00
$15.00
$20.00
$25.00
Material Request Information
Select Material Type: *
Book
Cassette Book
CD
CD-Book
CD-ROM
DVD
Video
Author/Actor/Actress/Musician: *
Title: *
ISBN:
Periodical Article Request Information
Select Periodical: *
Newspaper
Magazine
Periodical Title: *
Article Title: *
Volume & Issue number, or Month & Year: *
Page Numbers:
ISSN:
Additional Information
Message:
I agree to pay the required interlibrary loan fee of 50¢ per item
‹ Interlibrary Loan
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