Crouch Library
Motlow State Community College
Interlibrary Loan Request Form
For Books or Articles


Note: Please supply complete information. Failure to do so may result in a delay, or the requestor may have to be contacted for more information.

Title of (Book or Journal):
Author:
Title of Article (if Periodical):

Book:

Publisher:
Edition:
Year:
ISBN:

Periodical:

Volume:
Date:
Number (Issue):
Page(s):

Requestor:

Please indicate:
Faculty, Staff, Student, or Community User

Name:
Physical Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Ext.:
Email:

Comments or Suggestions:

Warning: Copyright Restrictions
The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a copy or other reproduction for purposes in excess of "fair use," that the user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order, if in its judgment, fulfillment of the order would involve violation of the copyright law.

I understand that there is a $5.00 charge if I don't pick up a registered interlibrary loan.