Chemeketa Interlibrary Loan Item Request Form
Use this form to request books, DVDs, etc., from another library system
Full Name *
Your answer
Email Address *
Your answer
Phone
Your answer
K Number *
Your answer
Status *
Last date requested item would be useful
For example, one week before your paper is due. We will attempt to acquire the item up until the last date you indicate it is useful. We will contact you if we cannot supply the item by the date needed.
MM
/
DD
/
YYYY
Maximum Cost Willing to Pay
We will attempt to acquire the item for free, or the lowest cost possible. If the cost is greater than the maximum you are willing to pay, we will notify you before continuing the request.
Pickup Location
Author
Your answer
Title
Your answer
Chapter (If request for a single chapter)
Your answer
ISBN (if known)
Your answer
Publisher
Your answer
Year
Your answer
Any edition okay?
Source of Reference
Your answer
Submit
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