Title of book/cd/video/audiobook that you are requesting:
Author of item (if applicable):
Your Name:
Your Address (street address, city, zip code):
Your Library Card Number (found beneath barcode on your card):
Your Phone Number: daytime: evenings: Your E-Mail Address:
Please search for this item: Within the State of Connecticut only Other states outside of Connecticut Both within CT and outside CT (Remember, fees for our Interlibrary Loan Service are as follows: $2 per item, for searching within the State of Connecticut, and $5 per item, for retrieving your item from outside the State of Connecticut.) Item not needed after: (dd/mm/yy) (Please allow a minimum of 10 days for us to process your interlibrary loan. If you need the item before the 10 day period, please call us at 285-1918, and we will try to provide alternatives for you to retrieve your item.)
Please indicate how you would like to be contacted when your item is available: Call or leave a message at the daytime phone number provided Call or leave a message at the evening phone number provided Send an e-mail to the e-mail address provided If you know in which library/libraries this item can be located, please indicate:
Any other information that may be relevant to our search: