Interlibrary Loan Request Form

Richmond Memorial Library

To make an interlibrary loan request for items not owned by the Richmond Memorial Library, fill out the following information and return this form to the Library.    We will call or email you when the item is available for pick up at the library.

Your Name:__________________________________________________

Your Telephone No.:___________________________________________

Your email address:____________________________________________

The title of the requested item:_____________________________________

The author of the requested item:___________________________________

The format of the requested item:

[  ] book    [  ] audiocassette     [   ] CD     [   ] DVD     [  ] videocassette

[  ] other: ____________________________________________________

Please return this form to:
Richmond Memorial Library
P.O. Box 387
15 School Drive
Marlborough, CT 06447