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  Library Item Request

Please fill out one form for each item requested. Provide as much information as possible.

Requester Information
Requester's Name:
Phone:
Email:
  Student     Faculty
Library User ID: Card # 20836 00001
Book Information
Book Author:
Book Title:
ISBN:
Publisher:
Publication Date:
Periodical/Magazine/Journal Information
Periodical Title:
Volume:
Issue #:
Date (Month and Year):
Pages:
Article Author:
Article Title:
  Where did you find this information?
I understand that I may not renew this item and I agree to return it to the TCCC Library by the date due.
I understand that I am responsible for any charges for the requested materials that are overdue, damaged or lost.
Borrower's Full Name:
Date: