M ANHATTAN   C OLLEGE   L IBRARY

Interlibrary Loan Form for Periodical Articles

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
Title of Journal
ISSN
Author of Article
Title of Article
Volume Number
Issue Number
Month/Year
Pages
Your Source of Reference
Date of Request
NOTICE CONCERNING COPYRIGHT RESTRICTIONS: The copyright law of the United States governs the making of photocopies or other reproductions of copyrighted materials. 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 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 judgement, fulfillment of that order would involve violation of copyright law.
Signature ______________________________________________________
[This section for office use only]
Fee Paid Yes, $1.00 No, Faculty
Approved by
IL: _____________________
REQ:_____________________ 		OC: _______________________
R:  _______________________
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Last modified: 28 March 2005, S. Pober
©2005