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Periodical Request Form

Please use this form to interlibrary loan an article from a periodical, such as a journal, magazine, and newspaper.

Periodical Information

Article Title

Article Author

Periodical Title

Volume

Number

Article Date

Page Numbers

ISSN

Citation Source

Patron Information

Name

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Alternate Phone Number

Fax Number

Email Address

 


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