Newbury College Library Reserve Request Form

Reserve Reading Request Form

Course number:

Course name:

Instructor:

Semester:

Please include one way of contacting you so that we can reply.

email address:

phone number:

Check one: library use only overnight

Owned by the Library?
yes -- Call number:
no (Titles not owned by the Library will be ordered. The Library can not guarantee availability or date of arrival)

Personal copy: yes no

Please submit this form once for each item you wish to be placed on reserve.

Book to be placed on reserve:

Author:

Title:

Edition:

Publisher:

Date of publication:

ISBN:

Book extract (photocopy) to be placed on reserve:

Author:

Title:

Edition:

Publisher:

Date of publication:

ISBN:
Book pages:

Journal article to be placed on reserve:

Journal title:

Article author:

Article title:

Journal volume number/issue number:

Journal page numbers:

Date of publication:

ISSN:

The copyrighted material which I am submitting for Reserve Reading for this class and semester is in compliance with Copyright Law (17 U.S. Code).

I understand and agree with this statement.

You can also call (617) 738-2443 or visit the Library to make your request.

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