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Reserve Request Form

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*Note: Please see These Instructions before completing.

* Indicates required information

Instructor Information

Instructor: (REQUIRED)*
Phone:
Department:
E-mail:
University Mailing Address:

Course Information

Course Name: (REQUIRED)*
Course Number: (REQUIRED)*
Reserve for Which Semester and year:
We request that you retrieve your reserve items at the end of the semester. Please indicate the date you will return to retrieve private copy books and reprints.
Pick up Private Copies:

Material to be Placed on Reserve

1.) Please choose:
Private Copy
Library Call #
Author(s)
Title
Other Description
Number of Copies to be Placed on Reserve
2.) Please choose:
Private Copy
Library Call #
Author(s)
Title
Other Description
Number of Copies to be Placed on Reserve
3.) Please choose:
Private Copy
Library Call #
Author(s)
Title
Other Description
Number of Copies to be Placed on Reserve
4.) Please choose:
Private Copy
Library Call #
Author(s)
Title
Other Description
Number of Copies to be Placed on Reserve
5.) Please choose:
Private Copy
Library Call #
Author(s)
Title
Other Description
Number of Copies to be Placed on Reserve

  


Last Updated: July 18, 2008, 2:10 pm