Interlibrary Loan
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Book Request Form

Only one book request may be submitted on this form at one time.

If you have any questions about Interlibrary Loan or this form, please contact Nicole Arnold.

All sections marked with an asterisk (*) are required.

 Name:* (Last, First, MI)
Phone Number:*
If you are Faculty/Staff: Do you want us to charge your department?   
If Yes, charge which department?
NOTE: Please provide as much citation information as possible.
Full Title:*
(include middle name if known)
This Edition only?
Publication Date:
Citation Source:*
(Where did you find the information about this book?)
Maximum amount you will pay for the book:*
Date after which book not needed:
Other information that may help us fill your request:

By sending this request, I understand that my request must be directly related to coursework, research, or teaching at Muskingum University. I also understand that there may be a fee associated with obtaining this book. I agree to pay up to the maximum amount I have indicated above.

If you are submitting multiple requests, simply use your browser's BACK button to return to this form after clicking Submit Request. All of the data you entered will be retained, so it will not be necessary to re-key your personal information. You will need to retype the author, title and other information pertinent to your new request. After submitting your final request, please be sure to click the Clear the Form button to clear your personal information.

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