Periodical Request Form

• Date of request
• Periodical title (do not abbreviate)
• Date of periodical
• Volume
• Issue
• Page numbers
• Author(s)
• Title of article
• Patron name
• Patron library card barcode number (beginning with 26173) listed on the back of your card
• I prefer to be contacted byPhone
  Email
• Phone number
• Email address
• Please select the extent of the search. Please do a free search only.
  I am willing to pay $3.00 for out-of-state postage and insurance.
• I am willing to pay for photocopy charges up to a maximum of $