Interlibrary Loan Book Request Form

Today's Date:

I cannot use this material after:

Name:

Phone Number:

Email Address:

Classification:

Course for which material will be used:

Author(s)/Editor(s):

Title:

Publisher:

Publication Date:

mm/dd/yy

Edition:

This edition only:

Yes

ISBN:

OCLC:

Where did you find the information about this book?:

I have checked LUCY, Mercer University's Libraries, and Macon State College's Library for this item.

Yes

What is the maximum amount you are willing to pay for this interlibrary loan?

Amount:

Please allow 10 working days or longer for the interlibrary loan to be received. You will be notified when the material is available. You may then pick up the material at the circulation desk.

I assume responsibility for all fees from the lending library, even for those items that may arrive too late to be of use. I also assume responsibility for replacement costs for any items I fail to return and or late fees that might accrue for items I return past their due date. These costs can be up to $80.00 per item.