Interlibrary Loan Request

2. Cochise County Library District - Interlibrary Loan Request

4. Borrower's First Name

5. Borrower's Last Name

6. Date
   Date

8. Library Card Number

10. Phone Number

11. Email Address

13. Title

    (Book, Movie, or Article)

14. Author

16. Notes

18. OCLC ILL Number

    (Staff Use)

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19. Submit

* indicates a required field