Instructor
         Name:  

 Course Name/
       Number:  

        Phone:   E-mail: 



Article
Book or document
Media (CD, tape, etc.)

Titles/Authors of Items to be placed on reserve:




Length of loan:
2 Hr.
2 Hr. w/overnight
1 Day
2 Day


The copyright law of the United States (Title 17 U.S. Code) governs the
making of photocopies or other reproductions of copyrighted material.


Copyright authorization:
Library Owns
Personal copy
Permission obtained
Spontaneous Use

Remarks/Other info: