INTERLIBRARY LOAN REQUEST - Carl Albert State College, Joe E. White Library

Please supply the information requested below and then click the Submit button.
Click the radio button beside the selection that describes you:
 		Student
 Faculty
 Staff

Full Name

Mailing Address

City, State, Zip

E-Mail Address

Home Phone

CASC ID #

Date Requested

Maximum amount I am willing to pay if there is a charge from the lending library.

Books

Author

Title
Publisher
Date
ISBN
Source of Citation

Magazine Articles
Title of Magazine
Article Title
Author
ISSN Number
Volume No.
Issue No.
Date
Page No.
Source of Citation
I assume responsibility for any materials requested and will return them to the CASC Library on or before the date due. If necessary, I agree to assume financial responsibility for replacement of materials I have requested and received, in case of damage or loss.
I agree
I disagree
Signature and ID #