Interlibrary Loan Form for Books, Pamphlets, Documents
Loans take 10-14 days, (fall 97- no email or fax submissions)
| Date submitted __________________ | Date needed by _________________________ |
Title: ___________________________________________________________________
| Author: ____________________________________________ | Date Published:____________ |
| Publisher:___________________________________________ | ISBN:____________________ |
Source where you found this title.
| . | Year .. Volume .. Page | . | Title .. Year .. Page |
Books In Print: | _________________________ | Index | ___________________________ |
Forthcoming Books: | _______________________ | Cd-rom Index | __________________________ |
Online Catalog | ___________________________ | Bibliography | ___________________________ |
Publisher's catalog | ______________________ | Other | _____________________________ |
| Name:_______________________________ | Phone: (h)____________ (w)__________ |
| . | (barcode on back of ID) |
| Address: ______________________________ | Library Card#__________________________ |
| . | Circle one: |
| City/State/Zip __________________________ | Student Faculty Staff Special Patron |
| email address __________________________ | . |
| I agree to be responsible for any costs incurred as a result
of damage to or loss of this item. I understand that I will
be fined at a rate of $1 per day for each overdue item
acquired through interlibrary loan. I agree to pay all such
fines as levied by the WVSU Library or the lending library.
I also understand that books cannot be renewed. (Special
card holders may use interlibrary loan books only in the
library.)
________________________________________ Patron Signature |
OFFICE USE ONLY
IL:_________________________
RECEIVED:_________________
DUE:_______________________
RETURNED:_________________ |