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2. Patron Information
4. Library Card Number:
5. Name:
7. Address
9. City
10. State
11. Zip Code
13. Preferred Phone Number:
15. Email
17. Request
19. Microfilm Title:
21. Reel Number(s):
23. Dates(s):
25. City/County/State:
27. Is there a deadline for this item?

    1. Yes
    2. No
28. If so when?
30. If there is a cost involved, how much are you willing to pay?
32. Comments
34. Guidelines
    Interlibrary Loan Guidelines (PDF)
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

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