M ANHATTAN   C OLLEGE   L IBRARY

Interlibrary Loan Form for Books

Directions: Print out this form and sign it in the appropriate box. There is a $1.00 processing fee for student requests which must be paid when the form is submitted. Requests cannot be sent electronically.
Fill out the form completely. Missing data can delay your request.

Name
Barcode Number
(Required for student requests)
Phone Number
Department/Address
Status (Check one) Undergraduate Student Graduate Student
Faculty Staff
Author of Book
Title of Book
Publisher
Year of Publication
Your Source of Reference
Date of Request
Signature ______________________________________________________
[This section for office use only]
Fee Paid Yes, $1.00 No, Faculty
Approved by
IL: _____________________
REQ:_____________________
DUE:_____________________ 		OC: _______________________
R:  _______________________
RD: _______________________
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Last modified: 28 March 2005, S. Pober
©2005