Neptune Public Library

NEPTUNE PUBLIC LIBRARY

INTERLIBRARY LOAN PHOTOCOPY REQUEST FORM

Name_____________________________________________ Date______________________

Library Card Number___________________________________________________________

Mailing Address_______________________________________________________________

Phone (home)______________________________(other)_____________________________

Text Box:
Periodical Title, ____________________________________________________________

Volume, Year of Publication _____________________________ISSN#________________

Article Title and Pages_______________________________________________________

I AGREE TO PAY ALL FEES ASSOCIATED WITH THIS REQUEST. THIS MAY BE $10 OR MORE IF THE LIBRARY IS UNABLE TO GET THESE ITEM(S) FOR FREE.

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