Periodical Reserve Request

Please enter the following information:

Name

Office Number and Building

Telephone Number

Email Address

Department

Course Subject and Number

Semester and Year

Input the following information for each periodical article to be placed on reserve for this course. You can enter up to five items in the spaces provided. When the form is complete, click on the submit button at the bottom. If you wish to request more than five items to be placed on reserve for this course, please complete another form/s

First Item

Call Number

Title

Volume

Issue Number

Month and Year

Page Numbers

Author of Article

Title of Article

This item should circulate for:
Two Hours
One Day
Three Days
One Week

Date to be taken off reserve?

Second Item

Call Number

Title

Volume

Issue Number

Month and Year

Page Numbers

Author of Article

Title of Article

This item should circulate for:
Two Hours
One Day
Three Days
One Week

Date to be taken off reserve?

Third Item

Call Number

Title

Volume

Issue Number

Month and Year

Page Numbers

Author of Article

Title of Article

This item should circulate for:
Two Hours
One Day
Three Days
One Week

Date to be taken off reserve?

Fourth Item

Call Number

Title

Volume

Issue Number

Month and Year

Page Numbers

Author of Article

Title of Article

This item should circulate for:
Two Hours
One Day
Three Days
One Week

Date to be taken off reserve?

Fifth Item

Call Number

Title

Volume

Issue Number

Month and Year

Page Numbers

Author of Article

Title of Article

This item should circulate for:
Two Hours
One Day
Three Days
One Week

Date to be taken off reserve?