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Interlibrary Loan Request - Chapter

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Please correct the fields below:

Please correct the field(s) marked in red below:

1

Name:

2

MPC Library Card Number:

3

Phone number:

Phone number: ext.

4

Email address:

5

Status:

Faculty

Staff

Student

6

Needed before? (date):

7

Willing to pay a fee if lending library requires?

Yes

No

8

Book Title:

9

Chapter Title:

10

Author:

11

Publisher & Year:

12

Page range:

13

ISBN:

14

OCLC# or url of item in WorldCat:

15

Comments:

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