Interlibrary Loan Request Form
Have you checked the Library's catalogue for this item and reviewed the interlibrary loan guidelines outlined above? *
Customer Information
You must have a valid library card in order for the request to be processed.
Full Name (Last Name, First Name) *
Your answer
Library Card Number (e.g., 24567xxxxxxxxx) *
Your answer
Phone Number (i.e. 905-793-4636)
Your answer
Branch for Pickup *
Item Information
Title *
Your answer
Author/Creator *
Your answer
Publication Year (i.e. published more than 12 months ago)
MM
/
DD
/
YYYY
ISBN
Your answer
Format *
Note
Your answer
Submitted By *
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