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Public Health Library Course Reserves Form

SEMESTER:  SPRING 2014  SUMMER 2014  FALL 2014

Course Number:*

Professor:

Campus/Group address:

Email:

Phone:

Contact Person (if other than professor):

Email:

Phone:

Special Instructions:

Addition to a prior list?   yes   no

* This field must be completed before your request can be sent.



For each title below, please choose one loan period.
Please go to the bottom of the page to submit this form.

Reserve item #1

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #2

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #3

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #4

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #5

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #6

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #7

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #8

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #9

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #10

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #11

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #12

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:


5 + 3 =
This question must be answered correctly or your reserve item request list will not be sent!


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Please print the resulting page for your records.

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