Interlibrary Loan

Name *

First Name Last Name
Library Barcode Number *
Phone Number *
Phone Number *

Area Code Phone Number
Email
example@example.com
Material Type *

Book DVD CD Book on CD
Title *
Author / Artist / Actor *
Date of Publication (optional)
ISBN (optional)
Will you accept a $3 charge if the item must be retrieved from out of state? *

Yes No
I have a deadline for this item:

Month Day Year
Date
Additional Comments
If you change your mind about your request and would like to cancel, please be sure to contact ill@danburylibrary.org.
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