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Robert B. Greenblatt, M.D. Library
Interlibrary Loan Journal 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
Requestor:       Department: 
Purpose of Loan:

Is the research grant related?  yes    no

 Other:
Status: Other:
Affiliation:   Other:
Non-MCG (explain):
Campus Address:
(Dept. & Room #)
Other Address If non-MCG
Campus Phone: Fax No: 
Home Phone:

Article Information

Journal Title:
Volume:   No:   Date:   Pages:
Author of Article:
Title of Article:
If the article is in a foreign language, do you want it? Yes  No
If an English Abstract of the foreign language article is available, do you want it? YesNo
Unique Identifier or PubMed Number if available 

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

Rush

     $5.00 surcharge per item   yes   no

Payment Information

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

Delivery Information

Materials will be delivered to you electronically whenever possible.

         Send to Email Address:  

Options

  will accept any format
  PDF only (if PDF not available, print copies will be provided)
  do not send electronically

   If not available electronically:

  print (we will call when available)
  fax number  

Cite where you found this reference/Comments

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

Back to Interlibrary Loans Services and FormsBack to Interlibrary Loans Services and Forms

Greenblatt Library   |  Medical College of Georgia

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