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Please note: ILL service is only available to full-service Burlington County Library cardholders who have no overdue ILL material and who owe less than $10.00 in outstanding charges.
Item to be Requested
Author's Name:
(Last, First)
Title:
Publisher:
Place of Publication:
Publication Date: Format:
ISBN:
If necessary, would you
pay more than the $1
charge for this service?
Yes
No
Pickup location:
Source of your
information,
or comments:
Last date you will
accept this item:
// (mm/dd/yyyy)
Customer Information
Name:
(Last, First)
Library Card
Number:
PIN:
Telephone
Number:
or
E-mail:
Select One: Adult
Youth/Child
Staff
Other
Customer Address:
When finished filling out
both sections of this form,
please click here:
Note: Items in red must be entered.
Burlington County Library System | 5 Pioneer Boulevard | Westampton, NJ 08060
Phone: (609) 267-9660 | Fax: (609) 267-4091