Book
                            Inter-Library Loan Request Form
 

Please PRINT
 

Title (and subtitle) of Book_________________________________________________

_______________________________________________________________________

Author(s)_______________________________________________________________

Publisher_______________________________________________________________

Date (or specific Edition)__________________________________________________

If requested edition is not available, will another edition suffice?    Yes_____  No_____

Where did you find the citation to this book (e.g. another book, article, internet):

Title or URL____________________________________________________________

Author (if applicable)___________________________  Page__________   Date______

Date after which this book will no longer be useful to you________________________

To be used for (CHECK one):         ____ personal information   _____  course

Course title and number___________________________________________________
 

I agree to abide by policies of the lending library, including loan period & due date.
 

Signature______________________________________
 

PRINT name___________________________________

Pyle Box Number_________________