Public Health Library Course Reserves Form

SEMESTER:  SPRING 2013  FALL 2013

Course Number:*

Professor:

Campus/Group address:

Email:

Phone:

Contact Person (if other than professor):

Email:

Phone:

Special Instructions:

Addition to a prior list?   yes   no

* This field must be completed before your request can be sent.

For each title below, please choose one loan period.
Please go to the bottom of the page to submit this form.

Reserve item #1

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #2

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #3

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #4

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #5

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #6

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #7

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #8

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #9

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #10

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #11

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

Reserve item #12

Loan period:  2 hour, library use only   2 hours   1 day
Author(s):
Title:
Publisher/Edition:
Call number:   Vol. number:   Number of copies:

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