INTERLIBRARY LOAN REQUEST FORM

THIS FORM CAN BE DROPPED OFF AT THE FRONT DESK.
(You can email the information to mike.williams@leecountync.com)
(You can leave a message with this information at 774-6045, ext. 205)

Please fill out as many spaces as you can in the Patron information field below.  The more information we have the easier it is to locate the book you want.  (An asterisk (*) denotes information most needed)

* Patron Name: _______________________________________
Library Card barcode # _________________________________ 
MAIN phone number____________________________________
(alternate phone number)________________________________
Email address: ________________________________________
*Title: _______________________________________________
____________________________________________________
*Author: _____________________________________________
ISBN number __________________________________________
Additional comments: