Requesting Reserve Materials Form - David L. Rice Library

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REQUESTING RESERVE MATERIALS
FORM

Use this form to request a book or photocopy be placed on reserve in the library. Submit it online or print and send it to Checkout Services, Rice Library. Please use a separate form for each item. All items placed on reserve will be removed at the end of the semester unless otherwise specified. No reserves will be processed on Saturdays. Questions concerning this form may be directed to libcirc@usi.edu. Each box MUST contain information or your computer will reject the form. If information is not available, use "NA"

Name:

Email address: Phone:

__________________________________________

Course Number:

Course Name:

First Date Materials Assigned:

Format:

Remain on Reserve for the period of: through

Remove at end of semester and return by campus mail

Requester will pick up at end of semester

Select one:

Location of Reserve:

Call Number:

Author:

Title:

The material I am requesting for reserve:
Complies with the Copyright Law [ {PL 94-553} guidelines on reserve] and permission to copy is granted by the copyright holder.

Special instructions/other information that will facilitate the reserve process:



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