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FAX: 970-243-4744
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Interlibrary Loan Request
*MUST BE A MESA COUNTY LIBRARY CARDHOLDER
*
= Required Field
*
Name: (Last, First)
*
Library Card #:
Ex: 409000xxx
Email:
*
Phone:
*
Book/Article Title:
Book/Article Author: (Last, First)
Journal Title:
Vol/Number/Date:
Page #:
Max. Cost
(willing to pay )
Date not Needed After:
*
Media Type:
Book
Video
DVD
Cas
CD
Photocopy
Microfilm
(select one)
*
Pickup Location:
Central
Clifton
Collbran
DeBeque
Fruita
Gateway
Orchard Mesa
Palisade
(select one)
Mesa County Libraries
P.O. Box 20,000 • Grand Junction, CO 81502-5019 • (970) 243-4442
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