Fill out one form per Class Time-Period
Name:
Department:
Phone:
E-mail:
Pickup location:	University Park LibraryNorth Campus Library

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Requested Materials
Title:
Call number:
Date Needed:
Title:
Call number:
Date Needed:
Title:
Call number:
Date Needed:
Title:
Call number:
Date Needed:

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UNIVERSITY PARK CAMPUS

• FILMS: will be sent to classrooms with equipment.
• VIDEOS: Please check out from AV Library in person. Bring ID and library card. Pick-up by an assistant must be authorized by signed memo with library card.
• VCR: VCR delivery should be arranged by calling Instructional Media Services, ext. 2815.

NORTH CAMPUS

• ALL MEDIA: Please check out from NC Circulation desk in person. Bring ID and library card. Pick-up by an assistant must be authorized by signed memo with library card.
• EQUIPMENT: Make arrangements with Equipment Distribution in ACI193 (919-5741) if your classroom does not have the equipment you require.

You will receive confirmation either by Email or by Telephone.

Additional forms may be submitted without re-typing identical information (name, etc.) by selecting and deleting the text in each field to be replaced with different information. "Refresh Screen" clears all fields.