Minitex
Interlibrary Loan Request Form
for CLC Students/Faculty/Staff
Name:
First
Middle Initial
Last
Address
:
Street
City
State
Zip
Other
:
Home Telephone Number:
or
Cell Phone Number:
Student ID Number:
Are you a student, faculty or staff?
What Campus?
Book:
Author:
Title:
Place of Publication:
Publisher:
Copyright Date:
OCLC BIB # (Located at bottom of record i.e., Record ID:
Periodical
:
Journal/Magazine Title:
Article Title:
Author:
Volume:
Issue #:
Page(s):
Date:
Verification: For staff use only: