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1. Today's Date (Required.)

Date

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2. Library Card Number
 (Required.)

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3. First Name
 (Required.)

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4. Last Name
 (Required.)

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5. Address

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6. Phone Number (Required.)

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7. Email Address (Required.)

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8. Preferred Library Location for Item Delivery (Required.)

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9. Title of Requested Item

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10. Author of Requested Item

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11. Publisher of Book/Title of Periodical

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12. Publication Date

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13. The Riverside Public Library’s $2 search fee is non-refundable, and does not guarantee a request can be filled. (Required.)

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14. Warning Concerning Copyright Restrictions:
The copyright law of the U.S. (Title17, US Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy is not be “used for any purpose other than private study, scholar-ship, or research.” If a user makes a request for, or later uses, a photocopy for purpose in excess of “fair use,” that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copy-righting order if, in its judgement, fulfillment of the order would involve violation of copyright law. (Required.)

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