Walsh College


Interlibrary Loan Request Form - Periodical

First Name:  
Last Name:  
Home Phone:  
Work Phone:
Library Card No:  
Email Address:     
Status:
Doctoral Student:
Date by which material is needed:
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Name of Journal  
Title of Article  
Author(s)  
Volume
Number
Issue Date
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Pages
Source of Reference
If other, please specify