Interlibrary Loan

Name*

First Name Last Name
Library Barcode Number*
Phone Number*
Email
example@example.com
Phone Number*
Material Type*

BookDVDCDBook 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?*

YesNo
I have a deadline for this item:

MonthDay 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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