InterLibrary Loan Request Form - Granville County Librarys

Date*

PICK UP LIBRARY*

Richard H. Thornton Library
South Branch Library
Stovall Branch Library
Berea Branch Library

REQUEST TYPE*

BOOK
ARTICLE or JOURNAL
OTHER

AUTHOR*

TITLE (Book)*

COPYRIGHT DATE/ ISBN

TITLE (Article or Journal)

PUBLICATION DATE

PAGE NUMBER(S)

VOLUME NO./ EDITION

Patron Name*

First Last

Library Card Number*

Patron Phone*

Patron Address*

Street Address Address Line 2 City State ZIP Code

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By clicking 'SUBMIT', I consent and agree to pay the postage fees for shipping as well as any fees charged by the lending institution not to exceed $5. This cost will be charged to my account upon receipt of the item and must be paid whether or not I choose to check the item out or not.