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211 E. Second Street
Marshfield, WI 54449
Phone: (715) 387-8494
FAX: (715) 387-6909
busoff@MarshfieldLibrary.org

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Interlibrary Loan Request Form

All fields marked with a red * are required fields and must be answered.

Full Name: *

First name: *

Enter your first name.

Last name: *

Enter your last name.

Address

Street Address: *

Enter your street address.

Address continued:

City *

Enter your city. You must be a Marshfield Public Library patron in order to request materials.

State *

Enter your state.

Zip *

Enter your zip code.

Email Address: *

Enter your email address if you have one.

Library Card Number *

Enter your complete barcode (14 digits). Do not include any spaces or punctuation in the barcode.

Need By?

Use the pull down box to choose a "need-by" time. If you do not need this item by a specific time, leave this field set to "None".

Book/Magazine/Movie/Music Information

Title: *

Enter the title of the item being requested. When requesting articles, enter the magazine, journal, or newspaper title here, and enter the article title in the "Title" field.

Author:

Enter the name of the author, artist, or composer of the item being requested.

Date:

Enter the year the item being requested was published.

Publisher:

Enter the publisher of the item being requested.

Edition (any, this only, okay if newer): *

Choose whether you will accept any edition, only the specified edition, or any newer edition.

Type of Media: *

Choose the type of media you would like for this item. If more than one type of media is acceptable, please list additional acceptable formats in the "Additonal Comments" field. If you choose "Other", please explain this in the "Additional Comments" field.

ISSN, ISBN, or OCLC Number:

If you have verified this item, enter one or more of these identifying numbers if you have it.

Article Information

Volume:

Enter the magazine/journal volume.

Issue:

Enter the magazine/journal issue number.

Date:

Enter the date the article was published.

Pages:

Enter the page or pages of the article.

Article Title:

Enter the title of the specific article being requested. If you are unsure of the exact title, the general subject of the article may be enough information if the date and volume information are provided.

Article Author

Enter the name of the author of the article being requested.

Additional Comments

Please add any additional information that may be helpful in processing your request.

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