University of Nebraska-Lincoln. University Libraries

UNL Distance Education

Request Form for
UNL Distance Education Students

Name:
Address:
City:
State:
Zip:
ID#U: (Located on your UNL ID or library card)
Voice Phone:
Fax Number:
Email Address:

Holding Library and UNL Call Number:
What type of material are you requesting? :
Author/Editor (Last, First):

Book or Journal Title:

Article Title:

Volume:
Number/Month:
Year:
Page Numbers:
Edition:
Language preference:
Will you accept microform materials?

If we are unable to supply this item from the UNL Libraries,
would you like us to automatically refer it to Interlibrary Loan?
(If you answer yes, please allow additional time for Interlibrary Loan items.)


Please provide the following Interlibrary Loan information if you answered "yes" to the previous question:
What is the last date you will accept this item? (MM/DD/YYYY) / /

IF NEEDED, I WILL PAY INTERLIBRARY LOAN CHARGES UP TO:

I am authorized to use the following UNL Departmental account:(Please use complete number in proper format.)

Please remember to check the spelling and accuracy of the information before you submit this request! 





By submitting the following request, I certify that I have read and understood the following copyright statement




 








Click here to go  to the UNL Distance Education Home Page.



This page was last updated December 10, 1999. If you have questions concerning this service, please contact Kate Adams, Distance Education Coordinator at Love Library (402) 472-2560 or e-mail to katea@unllib.unl.edu. If you have questions or comments regarding the Distance Education website, please email brianz@unllib.unl.edu). 



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