Fairfield Public Library

Interlibrary Loan for Fairfield Residents
Magazine/Journal Article Request Form
 

*REQUIRED FIELDS

    
* Your Name   
  
*Address    
 
*Library Card Number    
 
*Telephone Number    
 
Alternate Phone 
 
E-mail Address  
  
*Are you willing to pay for lending or  photocopying charges if required?    
                   
    yes no
    If yes, how much?   
 
  
Where would you like to pick up the material when it comes in?     Main Library
  Fairfield Woods Branch
  
Magazine/Journal Article Information

All photocopy requests for materials are subject to the Copyright Law of the United States (Title 17, United States Code)
  

*Periodical Title 
 
*Article Title  
 
*Author Name  
  
*Publication Date 
 
Volume  
 
Number 
 
*Pages  
   
Comments/Additional Information  
   

Return to Interlibrary Loan PageInterlibrary Loan Book Request Form.

Phone:  (203) 256-3155
September 8, 2005
Web Contact:  bbuss@fplct.org

 



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