Lending Library Book Request Form

On Campus Mom Foundation

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Email *
Form Completion Date:
MM
/
DD
/
YYYY
Borrower's Name: *
Borrower's Phone Number: *
Type of Item Requested:
Clear selection
Title and ISBN of Book(s) Requested:
Please hit return after each Title & ISBN to form a list
*
Location Where Item(s) Should Be Delivered To: *
Duration of Loan Period: *
The On Campus Mom Foundation, Inc. will facilitate delivery of the item(s) listed above to the dorm desk or apartment office location as indicated as the delivery location on this form if the requested title(s) are in stock and available.
Return of Loaned Book(s): *
Additional Comments:
A copy of your responses will be emailed to the address you provided.
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