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ILL book request form

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Interlibrary loan book request form

Please fill out the form below as completely as possible and then submit at the bottom. *Fields in red are required.

*Town/Institution:  

Library Phone:

Library E-mail:

Library Fax:

 

*Patron Name:     

Patron Phone:

Patron E-Mail:

Request Date:

Not Needed After:

*Authorized By:    

 

*Author (last name first):

*Title:

Publisher 

Date 

ISBN

Request Outside CMRLS Yes    No

*Request Outside MA     Yes    No   

 

Notes:

 

 

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