Request an Item From Another Library

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* 1. Fill out the boxes below:

Name

Library card number

Phone number

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* 2. Fill out your request below. Please include author, title and publication date.

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* 3. Item format (note: if it is not indicated it will be assumed regular print.)

Regular print

Large print

Audio

Other (please specify)

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* 4. Date requested:

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* 5. Additional comments: