Interlibrary Loan form for Periodicals

Loans require 10-14 days

Date submitted_____________________

Date needed by__________________

Periodical Title: ______________________________________________________

Volume no.: ______ Issue no.:______Pages:______________ Date: ____________

Author of article: __________________________________________________

Title of article:____________________________________________________

__________________________________________________________________

Source or Index where you found this article: _________________________________ ________________________________________________

Volume: _______________ Pages:_______________ Date:_________________

Name: _____________________________ Phone: (h)____________ (w)___________

Address: ________________________________

City/State/Zip ____________________________

Library Card# (barcode on back of ID-required) __________________________
Circle one: Student Faculty Staff Special Patron

email address ___________________________________________

Copyright Notice

The Copyright Law of the United States (United States Code, Title 17) governs the use of copyrighted material. The Drain-Jordan Library reserves the right to refuse to accept a copying request if fulfillment of the order would, in its judgment, involve violation of the Copyright Law.

Office Use Only

In-State Locations OCLC Locations ISSN:________________________________

_______________ ______________ IL: __________________________________

_______________ ______________ __________________________________

_______________ ______________ RECEIVED: __________________________

_______________ ______________ PATRON NOTIFIED: __________________