Neptune Public Library

NEPTUNE PUBLIC LIBRARY

INTERLIBRARY LOAN BOOK REQUEST FORM

Name_____________________________________________ Date______________________

Library Card Number___________________________________________________________

Mailing Address_______________________________________________________________

Phone (home)______________________________(other)_____________________________

Text Box:
Title___________________________________________________________________

Author____________________________________________ISBN#________________

Publisher___________________________Date______________Edition____________

IF WE CAN’T GET THIS BOOK FOR FREE, HOW MUCH WILLYOU PAY? _________

I agree to pay the fees associated with this Interlibrary loan, as long as I have approved them in advance. [__________________Staff initial & amount]
I understand that Interlibrary loan materials MUST BE RETURNED TO THE CIRCULATION DESK.
I understand that lost materials will incur a $10 processing fee in addition to the cost of the item.

PATRON SIGNATURE___________________________________________________

Staff name_______________________________________________________________

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Krista Wittenberg, Asst. Systems Administrator
Neptune Public Library
25 Neptune Blvd., Neptune, NJ 07753
USA
732-775-8241, Ext. 303
E-Mail library@neptunetownship.org