Information About Person Submitting Request
(Your Name REQUIRED)
(Campus Address REQUIRED)
(Campus Phone REQUIRED)
(Email Address)

Information About Reserve Request
(Department REQUIRED)
(Course Number REQUIRED)

Professor's Name Under Which To File This Item (REQUIRED)


(Author)
(Title)
(Publisher/Date/Edition)
(Available at Bookstore, Y/N)

Reserve for:

Fall Semester
Winter Semester
Summer Semester Loan Period:

2-Hour Library Use Only
2-Hour
1-Day
3-Day
1 Week

Additional Comments