Interlibrary Loan Request Form
Requests for materials outside of the Mid York Library System
Library Card Number: *
Your answer
Name: *
Your answer
Phone/Email: *
Your answer
Pickup Library: *
Type: Book, DVD, CD *
Your answer
Title: *
Your answer
Author:
Your answer
Publication Date:
Your answer
Publisher:
Your answer
ISBN/ISSN:
Your answer
Accept Postage Fee? *
Clayville, DeRuyter, Jordanville, Salisbury, and Vernon charge the exact postage. Middleville charges the exact postage if it exceeds $5. Herkimer charges $5. Ilion, Oneida and Rome charge $3. Little Falls, Waterville, and Westernville charge $2. The rest do not charge but do accept donations to defray the cost.
Submit
Never submit passwords through Google Forms.
This form was created inside of Mid York Library System. Report Abuse - Terms of Service