Interlibrary Loan Request

Use the form provided below to request an interlibrary loan. Please be sure to read the terms and conditions outlined below.

Please only submit one request at a time.
All fields marked with * are required fields.

Interlibrary Loan Request Form

* First Name:
* Last Name:
* Primary Phone:	(555) 555-5555
Secondary Phone:	(555) 555-5555
Your E-mail:
* 14-digit Library Card Number:
* Your Library:	Astor County LibraryMarianne Beck Memorial Library Cagan Crossings Community LibraryMarion Baysinger Memorial Library Cooper Memorial LibraryMinneola Schoolhouse Library East Lake County LibraryPaisley County Library Fruitland Park LibraryTavares Public Library Helen Lehmann Memorial LibraryUmatilla Public Library Lady Lake Public LibraryW.T. Bland Public Library Leesburg Public Library
Book Information
Title:
Author:
Publication Date:
Edition:
This Edition Only?	Yes No
Most Current Edition?	Yes No
Series:
ISBN No.:
OCLC No.:
Periodical Information
Periodical Title:
ISSN No.:
Volume:
Number:
Date:
Pages:
Article Title:
Article Authors:
Terms & Conditions
Most Interlibrary Loans are free but some libraries charge to borrow or photocopy Maximum cost patron is willing to pay for loan or copies: $ Enter 0 (zero) if you are unwilling to pay for any loan, or you may enter "Contact or call" if willing to consider charge if necessary. There is no guarantee that the item requested can be located. Requested books must have copyright date of a year or older. No requests can be made for books published in the current year. Videos, audios, and microfilms are RARELY loaned. Supplying Library’s restrictions must be observed. Please check the database before making a request. Your library account must be in good standing before ILL is checked out. OVERDUE FINES FOR INTERLIBRARY LOANS ARE $1.00 PER DAY
Signature
I have read and agree to the terms of this request: By typing your name above, you are in effect, signing this document and agreeing to the terms and conditions that were explained and stating that the information you have provided is correct to the best of your knowledge.
Legal Notice: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

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Interlibrary Loan Request