Materials Request Form

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Personal Information
First Name:
Last Name:
Department & School:
Email Address:
Daytime Telephone:
Fax:
Library Card Number:
University Status:
Home Library:	Where requested materials will be sent
Delivery Method:
Time Limit:
Bibliographic Information
Type of Material
Journal/Book Author:
Journal/Book Title:
Publisher:
Year of Publication:	This Edition Only
Article/Chapter Author:
Article/Chapter Title:
Volume:
Issue:
Pages:
Location
Additional Comments:
NOTICE - Warning Concerning Copyright Restrictions. 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 specified 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.

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