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Bioscience Library Course Reserves Form
Contact Name:
Contact E-mail:(ex: jdoe@berkeley.edu)
Phone:
Semester:
Instructor:  
Dept. and Course Number:
Number of Students:
Special Instructions:
Addition to a prior list?: yes no

For each title below, please choose one loan period.
The Submit Button is at the bottom of the page.
Please print and hand deliver this form if you are submitting personal copies.

Reserve item #1
Number of Copies:123 4 5
library use 2 hours 1 day 1 week
Author:
Title/Publisher/Edition:

Vol. number:
Call number:
Reserve item #2
Number of Copies: 12345
library use 2 hours 1 day 1 week
Author:
Title/Publisher/Edition:

Vol. number:
Call number:
Reserve item #3
Number of Copies:12345
library use 2 hours 1 day 1 week
Author:
Title/Publisher/Edition:

Vol. number:
Call number:
Reserve item #4
Number of Copies:12345
library use 2 hours 1 day 1 week
Author:
Title/Publisher/Edition:

Vol. number:
Call number:
Reserve item #5
Number of Copies:12345
library use 2 hours 1 day 1 week
Author:
Title/Publisher/Edition:

Vol. number:
Call number:
Reserve item #6
Number of Copies: 1 2 3 4 5
library use 2 hours 1 day 1 week
Author:
Title/Publisher/Edition:

Vol. number:
Call number:
Reserve item #7
Number of Copies:12345
library use 2 hours 1 day 1 week
Author:
Title/Publisher/Edition:

Vol. number:
Call number:
Reserve item #8
Number of Copies:12345
library use 2 hours 1 day 1 week
Author:
Title/Publisher/Edition:

Vol. number:
Call number:


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