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Request an Interlibrary Loan Book

2. Limit of three (3) total requests per month.
4. Please do not submit requests for material that has been published in the last 12 months, or that is media.
6. Name*
8. Library Card Number*
10. Address
12. Phone*
14. Email*
16. Book Title*
18. Author*
20. Publisher
21. Publication Date
    Publication Date
23. ISBN Number
25. Additional Notes
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field