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Request an Interlibrary Loan Book

2. Limit of three (3) total requests per month.

   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.

   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