LIB - Interlibrary Loan Article Request

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Email

How do you wish to be notified?

Relationship to CSM

College ID # (If applicable)

Campus where you want to pick-up the materials

Date Needed (Allow for 2-4 weeks for processing)

MonthDayYear

Did you check OPAC (CSM's online card catalog) for this book?

Please note: your request, if still unfilled, will be canceled on the date you specify.

Periodical Title

Article Title

Article Author

Number/Issue

Published Date

Pages Needed

Where did you find this citation?

(Book, database, web site, etc. ...)

Additional notes/information for the ILL Assistant: