University Library

ILL Lending Request Form

Books and Articles

U.S. and Foreign Libraries

Requestor Information

Institution: *

Contact Person: *

Email Address: *

Phone Number: *

Address: *

City: *

State: *

Zip: *

Country:

Delivery Mode:

Ariel Address:

Service Type: *

Copyright Compliance: *

Book Information

Please request either a book OR a journal article. If you would like more than one item, please submit additional requests.

Call Number: *

Author:

Title: *

Place of Publication:

Publisher:

Edition:

Journal Information

Please request either a book OR a journal article. If you would like more than one item, please submit additional requests.

Call number:

Title:

Article Author:

Article Title:

Volume/Issue:

Year:

Pages:

Need Before:

Notes:

Please include any notes that will assist us in filling this request.

Billing Information

Affiliation: *

California Public Library (no charge)

MOBAC Library (no charge)

Authorize to bill (address provided)

Billing Address

(if different from above)

Institution/Department:

Address:

City:

State:

Zip:

Country:

Before you submit your request...

1. Have you provided all pertinent information? 2. Is your email address correct? 3. Have you given permission to bill your institution for the requested material?

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University Library

ILL Lending Request Form