
	ICL Book Request	University of West Florida Libraries

Intercampus Loan Book Request Form

Notification

Requestors will be notified by phone or e-mail when the items are available. If you have not received a response within five working days, call 850-474-2414 in Pensacola or 850-863-6576 in Fort Walton Beach.

Book Request Form

* indicates required elements.

Patron Information :

* Name (Last, First):

* Nautilus\SUS Card or Dept Number:

* Status:

* Email Address:
* Are you a distance learner?

Phone or UWF Extension:

* Where do you wish to pick up this item?
(If you select "Other - Distance Learner," please elaborate in the "Special Messages/Instructions" section.)

Item Information :

Author :
Title :
Edition or Year :
Call Number :

Special Messages / Instructions :

* Nautilus\SUS Card or Dept Number:	* Status:
* Email Address:	* Are you a distance learner?
Phone or UWF Extension: