cancellation

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					                    SUBSCRIPTION CANCELLATION AUTHORIZATION

TITLE: _________________________________________________ BIB#: _________________

LOCATION: _______________________ CALL#: ______________________________________


REASON FOR CANCELLATION:
     Out of scope                     _____
     Unnecessary duplication          _____
     Purchasing another format        _____
     Ephemeral                        _____
     Not Indexed                      _____
     Other (specify)                  ________________________________________________

Selector recommending cancellation: ___________________________ Date: _____________

CONSULTATION:
     Subject specialist:  _____
     Reference selector: _____
     Faculty member:      _____
     Other:               _____
     Consultation not necessary because: _________________________________________

DISPOSITION OF NUL VOLUMES:
      _____ Retain

       _____ Withdraw (Submit withdrawal form)


APPROVAL OF CANCELLATION: _________________________________________________________
                                 Signature of Head, Academic Liaison Services   Date




This form will be forwarded after signature to Head, ERaCA Department.

				
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