Interlibrary Loan Request form

NOTE: By submitting this request you accept the terms and charges outlined above.

Book Authors
Book Title
If a particular edition is needed, list publisher & publication date
Your Name Your Name First Last
Your Library Card Number
Your Email Address
Book is no longer needed after this date: Book is no longer needed after this date: / MM / DD YYYY

Interlibrary loans take at least a week , and sometimes much longer, to arrive.
Daytime Phone Daytime Phone - ### - ### ####
Evening Phone Evening Phone - ### - ### ####
If the book is available for "in-library use only", would you still like it to be sent?

If the book is available for "in-library use only", would you still like it to be sent? Yes No
Library where you will pick up this item:
Service Agreement

Service Agreement By submitting this request I accept the terms and charges outlined above.