Materials Request Form

First Name

Last Name

Library Card Number

Phone Number (numbers only, no spaces or dashes)

Email Address

Pick Up Location

If the library does not purchase this item, may we borrow it from another library for you?

Yes, please forward my request to ILL.

No, do not forward my request to ILL.

Interlibrary Loan is not available for eBooks. Please read the FAQs on the Interlibrary Loan page as there may be additional fees.

Title of Material

Author (if material is a movie, please list an actor)

Year Published (if known)

Comments