Purdue Patrons

NOTE: Media may be scheduled up to one year in advance of the use date. Please allow a minimum of 3 working days to process requests. Media can be reserved for up to 1 week. Items can usually be renewed.

Name:
Email:
Address/Dept:
Campus Bldg:
Phone:
Status: Faculty/Staff    Student
Purdue ID: -
Use Date(s): (mm/dd/yy)
  Start date:
  End date:

NOTE: "Use dates" will apply to all titles listed on this form. Please submit a separate form for each date or date range requested. Scheduled items must be picked up at the UGRL Circulation/Reserves desk prior to the scheduled Use Date.

Title: Call #:
Title: Call #:
Title: Call #:
Title: Call #:
Title: Call #:
Special Instructions/Notes:
If you have questions regarding your order, please contact or call (765) 494-6731.
Honor and Remember
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