In the areas indicated below, please enter the appropriate information. Required fields are designated by an asterisk. ILS staff will email you when the item is received; we recommend that you use your UofH email address.

Borrower Information
  1. *Name (Last, First)   School Select Arts and Sci Barney School CETA Communications ENHP GIPP Hartt School HAS Hillyer College
  2. Patron Status Select Faculty Staff Graduate Undergraduate
  3. *Local address
  4. *Preferred phone number
  5. *Email address
  6. Cost not to exceed ? Choose $0 if not willing to pay. Select Cost $0 $10 $15 $20

Bibliographic Information
  7. *Title
  8. *Author (Last, First)
  9. Publisher
10. ISBN
11. *Date published Edition number
12. *Date needed (MM/DD/YYYY)
13. Enter any comments in the space below