REFERENCE MATERIAL LENDING FORM

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posted:: 9/6/2011
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							                              REFERENCE MATERIAL LENDING FORM

Date________________

Author/Title of Book ___________________________________________________________

Call #___________________________________________

Patron Name/Department______________________________________________________

Library Bar Code #_________________________________________________

Address______________________________________________________________________

Telephone #/university extension___________________________________

Borower’s Signature________________________________________________

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OFFICE USE ONLY

Date due___________________________________

Authorizing Librarian Signature________________________________________________