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MATERIAL REQUEST FORM

What is this form for?

Glad you asked. This form serves two purposes. First, you can use this form to request interlibrary loans. Interlibrary loans (ILLs) are items we request from another library on your behalf. Second, if you are a distance student you can use this form to have materials shipped to you free of charge.

 

Full Name (ex. John Doe)
Student ID (ex. 000xxxxxx)
Address Line 1
Address Line 2
City
State	-- Select --- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	Zip
Email Address
Phone Number (ex. 555-123-4567)
Campus	--- Select --- Albuquerque Altus Amarillo Anchorage Clovis Fairbanks Hawaii Lubbock Phoenix Plainview San Antonio Sierra Vista Wichita Falls Virtual Campus	Status	Choose One: Undergraduate Graduate Faculty Staff

What kind of item?		Book     or     Video?
Title
Author
Pages		Year
Publisher
ISBN

ILL If items are not available in house, we can borrow them from another library through a process known as Interlibrary Loan or ILL for short. Is this something you would like for us to do?   yes     no

Any additional comments: