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UCSC DOCUMENT DELIVERY SERVICES

Interlibrary Loan

Lending Request Form

Books and Articles

U.S. and Foreign Libraries

Required fields are marked bold.

Requester Information

Institution:

Contact Person:

Email Address: (if none, type "none"):

Phone Number:

Address:

City: State: Zip:

Country:

Delivery Mode: Ariel Address:

Service type : Copyright Compliance:

Please request either a book or a journal article. If you would like more than one item, return to this page and submit a new request.

Book Information:

Call Number:

Author:

Title:

Place of Publication: Publisher: Edition:

Journal Information:

Title:

Article Author:

Article Title:

Vol. Issue No. Year: Pages:

UCSC Catalog Call Number: OCLC Bib:

Other ID Number (specify source):

Verification Source:

Patron Information

Patron name:

Need Before Date (MM/DD/YYYY):

Notes:

Billing Charges:

Foreign and U.S. Libraries/Academic & Corporate: $20 for book titles, Photocopies $10. for the first 20pgs, .25 for each additional page. California Libraries are charged a .08 tax for non-returnables.

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:

Before you submit your request:

1. Make sure you have filled in pertinent information.

2. Is your Email Address correct?

3. Have you given UCSC permission to bill your library for requested material?

Contact UCSC ILL.

Updated 16-July-2004 ||Contact Document Delivery Services. ||

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