Basic Inter-Library Loan Request – Not from a Local Library

(Please give us as much information as possible about the item you want – *fields are required)

*Patron Name:

*Library Account Number (Barcode Number):

*How do you want us to contact you?

Phone (primary):  (other)  (email)

*Format of Item: Article Book Thesis/Dissertation Other:

*Journal or Source Name:

*Author:

*Title of Item:

Edition:   Date of Publication:   ISBN/ISSN:

If this is an article, we will need the following information:
*Volume No.:   *Issue No.:   Page No.:

Maximum amount willing to pay if item is not free: