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Interlibrary Loan Request Form

Available to MCCC Students and Faculty Only

Please limit requests to five per day.

Today's Date (mm/dd/yy):
Date needed by (mm/dd/yy):
Please complete: Part I for books, videos and audio tapes; Part II for journal articles.
* Required fields must by completed.

Part I: Books, videos and audio tapes

ISBN:
Author:
Title:
Publisher:
Copyright(year):

Part II: Journal articles

ISSN:
Author:
Title of Journal:
Title of Article:
Volume:
Number:
Pages:

Name:
Address or Department:
Phone:
Mercer Faculty/Staff/Student ID Number:

Although we request materials for free, there may be a charge assessed from the lending institution. Please specify the maximum amount you are willing to pay if there is a charge. $

I understand that I am responsible for lost or damaged materials requested in my name. Do NOT submit this form unless you agree with the above statement. Submitting this form indicates your agreement with the above responsibility.

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