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interlibrary loan request - book
* information is required

*Name

*Email

Phone number  *Day      Evening 
*Address  
*Library card number  
Need by date (mm/dd/yy)  

Loan information
*Title

*Author

*Publisher

*Publication year       *Any edition (Y/N)  
ISBN or LC#  
Format     (book, microform, dissertation)
*Where did you find this citation? (book, journal article, database, catalog)

Will you accept microform, if that's all we can get? (Y/N)  
*Maximum you are willing to pay, if there is a fee     (0,$5,$10,$15,$20,$25,$30)
Additional notes

451 Delaware Ave • Delmar • NY • 12054 • (518) 439-9314
last updated on Wednesday, August 25, 2010
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