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Interlibrary Loan Request Form
Submission of this request indicates agreement with interlibrary loan (ILL) policies. There is a limit of four ILL requests per patron at a time. Renewal period: Two weeks if lending library permits. Overdue fines are $.50 per day.
1. Library Card Number:

2. First Name:

3. Last Name:

4. Phone Number:

5. E-Mail Address:

6. This request is for a(n)*

7. Title of Book or Article:

8. Author:

9. Date of Publication (if applicable):

10. Title of Magazine or Journal (if applicable):

11. Volume Number (if applicable):

12. Issue Number (if applicable):

13. Page Numbers (if applicable):


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