InterLibrary Loan Form BOOK
*Library Code: *Title:
Author: Last Name First Name Middle Initial
Not wanted after this date:
Cost: $1.00 Out of System Zero Patron will pay up to (please record amount under this drop down box)
If patron would like to indicate the amount they are willing to pay:
Special Instructions: (Please verify in Amazon.com or other source and include any other information to help fill the request such as: special edition, volume number, # of copies...for a bookclub, large print, publisher, year, Library of Congress #, etc...)
*Staff Member's Name: Library Name: *Required Fields