Library

Inter-library Loan Book Request

Book Information
Author (Last name, First name)	Title	Publisher
Edition (if important)	Copyright Date	ISBN (if available)
Your Information
I agree to pay all standard charges related to this loan request. I also understand that this material may be protected by Copyright Law of the United States, Title 17, USC; and I agree that my use of the material will be in conformity with the current provisions of the Copyright Law.
Name	Phone/Extension	E-mail
Office/Address	CSC Status Faculty/Staff Student
Date	By checking this box I understand I will be responsible for any extended charges (fees of more than $10.00) related to this loan request.