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Home > Services > Interlibrary Loan >Photocopy Request Form

 

Photocopy Request Form

Please complete this form. You may also download a copy of this form by clicking here.

* - required fields

  * Name
  Email Address
  City
  State
  Zip Code
  * Home Phone

*  Work Phone  
  *  Library Card #  
  Item Information
  Periodical or Book Title  
  Volume
  Number
  Date
  Author
  Article Title
  Other information  

DPL charges $3 per request, payable when item is picked up. This fee helps defray the cost of return postage, insurance, and online computer charges. In addition to this fee some libraries have lending charges. Every attempt is made to find libraries that have no or low charges.

Copyright Warning: All photocopying is subject to copyright regulations and may be protected by Title XVII of the U.S. Code. Libraries have the authorization to supply photocopies when they are to be used for private study, scholarship, or research.

 
How much are you willing to pay?    
$3 $8 $13 $18 No Limit
 
What location would you like to pick up your materials?
 
 
 
     
 



 

 

 

 



 

 

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