Patron name:  __________________________________

Pick-up location: _________________________________

Card number:  _________________________________

Phone number:  _________________________________

Name of book:  __________________________________

Author:    ______________________________________

Need by date:  __________________________________

• Please make sure the patron’s account is in good standing.  ‘Good standing’ means no history of persistent overdues and fines and patron has been active long enough to demonstrate good patronage.
• A patron can only have two ILL items at a time.
• Please send each request individually.
• Route form to Systems Coordinator