Interlibrary Loan Request Form

Student Location: Charlotte  Misenheimer  Asheville  Greensboro  Locust  Prague  Raleigh  Durham  Troy  Winston-Salem 

              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.)

             Title: 

           Article: 

             Volume:Issue:

 Date of Publication 

         Author(s): 

       ISBN / ISSN: 

    Page Number(s):