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Robert B. Greenblatt, M.D. Library
Interlibrary Loan Book Request
Before submitting this form, please check
GIL - GALILEO Interconnected Libraries
to be sure the Greenblatt Library does not own the item
Copyright Warning   and  Fees

Requestor Information 

 You are responsible for the fee once we process a request for an item, so please be sure you want the item before placing the request
Date of Request:
Requestor:

Purpose of Loan:		     

Is this research grant related? yes   no

Other:
Status: Other:
Non-MCG (explain):
Affiliation:    Other:
Campus Address:
(Dept. & Room #)
Campus Phone:
Home Phone:
Email Address:

Book Information

Author of Book:
Book Title:
Edition:
Publisher:
Publication Date:
IMPORTANT: Cite where you found this reference. Please give as much information as possible, including title of source, date of publication, volume, page or name of computer data base.

Delivery Information

    You will be notified when the item is available for pick up.

The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other reproduction of copyrighted material.

Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be "used for any purpose other than private study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purpose in excess of "fair use", that user may be liable for copyright infringement.

This Institution reserves the right to refuse to accept a copying order if in its judgement, fulfillment of the order would involve violation of copyright law.

Fees

$5.00  for MCG or MCGHI
$10.00 for health professions, individuals
$20.00 for corporations, law firms

Payment Information

Payment will be made by:  Cash  Check  IDR   
Account No:
Send IDR to (Name):  
Dept. & Room #:     Ext:

Comments: 


Please direct questions to the Interlibrary Loan Office at (706) 721-6374

   

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Greenblatt Library   |  Medical College of Georgia

Please email comments, suggestions or questions to:
 Lisa Workman, lworkman@mail.mcg.edu
October 28, 2002