INTERLIBRARY LOAN BOOK REQUEST FORM

Note: There is a limit of eight requests per semester

Title: 

Author: 

Place/date published: 

Miscellaneous information: 

Potential lending library: 


Your name: 

Status:  Student Faculty/Staff Community

Library Barcode #: 

E-mail address: 

Phone #:  Date of Request: 

In case there is a charge for this item, I am willing to pay up to $

Latest date you can use the requested material: 

Additional information:

(Please allow 7 to 14 days for delivery. Note that if an item arrives too late for you to use it, you will still owe any charges.)

Copyright notice
The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specific conditions is that the photocopy or reproduction is not to be "used for any purpose other than private study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use," that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order, if in its judgment, fulfillment of the order would involve violation of copyright law.

By submitting this request, you certify that you have read, understand, and agree to the copyright notice shown above and the Athens State Interlibrary Loan policy.

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