Interlibrary Loan Book Request Form

Fields marked by "*" are required.
* Last Name:
* First Name:
* Mailing Address:
* City:
* State:
* Zip:
* Daytime Phone:
* Evening Phone:
* Hughes Library Card Number:
E-Mail Address:

NOTE: ILL requests for items owned by the Marion & Ed Hughes Public Library will not be processed unless the item has a 'missing' status. Because items are coming from another library system, it may take approximately two to six weeks for them to arrive. When a requested item has arrived on loan, you will be notified that it is ready to be picked up.

Material is not needed after the following date (mm/dd/yyyy):
* This is a request for the LOAN of a:

Other format:
Large print?
* Author(s) [Last name(s) first]:
* Title:
Publication Date:
I am willing to pay up to the following amount
to receive this material:
Notes to ILL Dept: