Augusta Richmond County Public Library Interlibrary Loan Request Form
Augusta Richmond County Public Library Interlibrary Loan Request for book, play, short story, essay, etc.
Name *
Your answer
PINES Library Card No. (no spaces) *
Your answer
Phone Number *
Your answer
Address *
Your answer
Zip Code *
Your answer
Email
Your answer
Title *
Your answer
Author *
Your answer
Publisher
Your answer
Place of Publication
Your answer
Do you need a specific edition? *
Required
If yes, which edition is needed?
Your answer
Source of reference
Your answer
Do you need this item by a certain date? *
Required
If yes, by what date?
MM
/
DD
/
YYYY
You will be responsible for paying postage costs for this item. If necessary, are you willing to pay an additional fee to obtain this item? *
Required
If yes, how much?
Your answer
Preferred Pickup Library *
By signing this form, I agree that I have read and understand the regulations below. (Indicate signature by re-entering patron name) *
Your answer
Add any extra notes here
Your answer
Submit
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This form was created inside of Augusta-Richmond County Public Library.