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ILL Request Form

Interlibrary Loan Form

Required Fields have an * and are in RED


Personal Information

Please enter your name and address that the item will be shipped to.

Please allow up to 2 weeks for delivery.

*First Name:

*Last Name:

*Address:

*City:

*State:

*Zip/Postal Code:

Country:



Contact Information

Contact Information

Please enter your full email address, for example, name@domain.com

Please enter a land line or mobile phone number.

Your phone number will not be shared. Your information is protected.


How to Contact You?

Phone

Email

Email:

We will never sell or disclose your email address to anyone.
Re-enter Email:

Must match the email address you just entered above.
*Phone:

Fax:


*What Status are you?:

I am a Drury Student

I am Drury Faculty

I am a Drury Grad Student

I am Drury Adjunct Faculty

I am Drury Staff

What is the last date you will accept this item through ILL? (MM/DD/YYYY)



Item Information

Item Information

Check your reference carefully and then enter the information.

If you need help just call Interlibrary Loan at 417-873-7277 of Katherine Bohnenkamper at 417-873-7485.

Last, First

Author / Editor information – put none if needed
*Book / Journal Title

Article / Chapter Title

Volume:

Issue Number:

Month:

Year:

Page Number(s)

Edition:

Language Preference:

Yes

No
Will you accept microform materials?



Copyright

Copyright Information

Please read the copyright information.

By submitting the following request, I certify that I have read and understood the copyright statement found at:



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