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ILL Periodical Request
  1. A free, basic library service for all patrons who have Brooks Memorial Library borrower cards. Patrons can borrow materials from libraries throughout Vermont and beyond. Note: This form is forP eriodical Articles or Microfilm. Requests for Books use a different form. Please complete all information to the best of your knowledge and be sure to check our catalog first!
  2. Item Type
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  3. Name of Periodical or Microfilm
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  4. Volume, Date, Issue #
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  5. Article Title
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  6. Page #s
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  7. Where did you see the item cited?
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  8. Maximum fee willing to incur?
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  9. Not of use after (mm/dd/yyyy)

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  10. Your Name(*)
    Please let us know your name.
  11. Your Library Barcode Number
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  12. Your Email(*)
    Please let us know your email address.
  13. Street Address
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  14. City / State / Zip
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  15. Phone (123-456-7890)
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  16. Additional information that might be useful in filling your request:
    Please let us know your message.

  17.   RefreshInvalid Input

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