1. Reserve Period Information

Dates needed on reserve -- specify last day needed:

Both terms Fall term only Spring term only Other (specify below)

• Beginning Date:
  
• End Date:

2. Book Information

Please include the year at the end of the call number. If submitting more than eight items, please fill out an additional form.

• First Title:

• Call Number: (required)
  
• Author(s) (last name, first name): (required)
  
• Complete title, edition (if applicable), and publication year: (required)

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  Second Title:
• Call Number:
  
• Author(s) (last name, first name):
  
• Complete title, edition (if applicable), and publication year:

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  Third Title:
• Call Number:
  
• Author(s) (last name, first name):
  
• Complete title, edition (if applicable), and publication year:

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  Fourth Title:
• Call Number:
  
• Author(s) (last name, first name):
  
• Complete title, edition (if applicable), and publication year:

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  Fifth Title:
• Call Number:
  
• Author(s) (last name, first name):
  
• Complete title, edition (if applicable), and publication year:

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  Sixth Title:
• Call Number:
  
• Author(s) (last name, first name):
  
• Complete title, edition (if applicable), and publication year:

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  Seventh Title:
• Call Number:
  
• Author(s) (last name, first name):
  
• Complete title, edition (if applicable), and publication year:

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  Eighth Title:
• Call Number:
  
• Author(s) (last name, first name):
  
• Complete title, edition (if applicable), and publication year:

  Note: for requests of more than eight items, please submit an additional form.

3. Instructor and Course Information

• Course Number & Title: (required)
  
• Number of Students (in course):
  
• Instructor: (required)
  

4. Communication preferences

• Communication method preferred: (click in one circle)(required)

  E-mail address:

  Telephone:(formats: x-xxxx, xxx-xxxx or xxx-xxx-xxxx)
  Best times to reach you by phone, (between 9:00 a.m. - 5:00 p.m., weekdays):