InterLibrary Loan (ILL) Request Form

*Please fill out as much information as possible.

Contact Information

Your Name:*

MCMLS Library Card Number:*

Your Email Address:

Phone Number:*

Preferred form of contact:*

Select where you wish to have the material sent:*

Material Information

If you need the material before a certain date, please indicate here:

Select Format Type:*

Title* (If requesting an article, enter newspaper/magazine title. Example: Wall Street Journal):

Article Title:

Date of Article: Volume:  Number:  Pages:

Author:

Edition (If applicable): ISBN # (If applicable):

If requesting a DVD, will you accept VHS if DVD is unavailable? Yes   No   Not Applicable

Additional Comments or Questions: