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2. Is this item in the Hocutt-Ellington Memorial Library Catalog? *

   1. This book is not in the catalog
   2. This book is in the catalog but is not requestable
4. I have read the InterLibrary Loan policy.*

   1. Yes
   2. No
6. Today's Date
8. Not Needed After*
10. Your Name*
12. Your Hocutt-Elllington Memorial Library Card Number*
14. Address
16. City
17. State
18. Zip Code
20. Your Email Address*
22. Your Request*
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24. Author/Editors of this Item*
26. Title of Item*
28. Publisher
30. Year or Edition*
32. Will You Accept Any Edition of this Title?

    1. Yes
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34. Comments:
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36. 1. Receive an email copy of this form.
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