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Distance Education Book Request

Distance Education Loan Policy
Patron Information   Required fields are marked by * (asterisk). 
*Distance Education Student/Faculty: Yes  No 

*Last Name:  *First Name: 

*Lib ID#:  *Phone:  

Email:  

*Mail  Address: 
Street: City: State: Zip:


Book Information
Item owned by Booth? Yes  No 

Item not wanted after: 

*Author(s): 

ISBN:

*Title: 

  Place:   Publisher:   Year: 

  This edition only 
Requested books will be mailed to the student by the library. The costs of returning the books to Booth Library must be met by the distance education student.
By submitting this request I hereby certify that the requested material is for my own personal use in research. I understand that copyrighted material may not be published or further reproduced without the owner's consent.