Interlibrary Loan Request Form | Montgomery County Government

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Patron Information

Name: *

Library Card Number: *

Phone Number: *

E-mail Address: *

Item Information

We can process up to three interlibrary loan requests at one time per patron. Please use a separate form for each item.

Title: *

Have you checked our catalog for this item?:

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Author or Editor: *

Year Published: *

Items must be at least one year old to qualify for interlibrary loan.

ISBN (if known):

Date Needed By: *

Interlibrary Loans usually take approximately 3 weeks to arrive. Please submit your request at least one month prior to the date needed.

Series Title:

Large Print?:

Large Print copies are not available on all titles.

Comments or Additional Information:

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Montgomery County Government complies with the following Civil Rights statutes;
Titles VI, VII, and IX of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,
Americans with Disabilities Act and the Age Discrimination Act of 1975.