Interlibrary Loan Request

General Information

Date of Request (mm/dd/yyyy) (Required)

/ /

Last Name (Required)

First Name (Required)

Library Card Number (Required)

Phone / Fax (incl. area code) (Required)

E-mail

I'd like to pick this item up at: (Required)

Woodland Park Public Library
Florissant Public Library

Kind of material: (Required)

Book
Magazine/Newspaper
VHS
DVD
Audiotape
CD
Other

Title (Required)

Author/Artist (Required)

Publisher/Publication Date

ISBN#/OCLC# (if known)

For Newspapers or Magazines

If you are requesting a magazine or newspaper article...

Newspaper or Magazine Title

Title of the article

Date/Volume

Volume Number/Issue Number/Page Numbers

Additional Notes

Please include any additional information that will help us to find this item for you.

I need this item by

Specify date: mm/dd/yyyy

/ /

Anytime is fine

Postal Fees Agreement

Please read carefully regarding possible postage fees: (Required)

I will not pay a postage fee. Do not borrow materials if only available outside of Colorado.
I agree to pay the minimum postage fee of $5.00 and/or the maximum charged by the U.S. Postal Service, if the material requested is only available from a library outside of the Colorado courier-served area.

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