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2. Each user is limited to five (5) requests per day for a total of 10 active requests at a time.

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
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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