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Interlibrary Loan Request Form

Please fill out the form completely.

Student Location:

              Name: 

  Student ID Number: 

        Phone No.: 

Pfeiffer Email:
 

Mailing Address for distance ed/online students:

     Street/PO Box: 

              City: 

             State: 

               Zip: 

        

Interlibrary Loan Item:
(For articles, all underlined fields must be filled out or a complete citation pasted into the box below.)

Book/Journal Title:
 

     Article Title: 

             Volume:Issue:

  Date of Publication 

         Author(s): 

       ISBN / ISSN: 

    Page Number(s): 




 
Include Comments or Paste Bibliographic Information Here:


 

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