E-Reserve Request Form

Reserve Request Form: E-Reserve Copies
Pickler Memorial Library - Truman State University

Instructor (Last name, First):	Use TAB (not ENTER) to move to the next box.
Phone/Extension: E-mail:	Please allow 3 workings days before making class assignments for assigned readings.
Course number (e.g. HIST 103):	Not more than 12 different photocopies may be put on reserve for a particular course during a term.
Course name:	See PML Reserve/Photocopy Policy for complete copyright guidelines.
Semester(s) needed: Fall Spring Summer

(1) Copyright owner/publisher:
        Title of Book or Periodical:

        Date:     Volume number: Issue:

        Does our library own this item? Yes    No    Location/Call number:

        Title of Article or Chapter to be scanned:

        Author of Article or Chapter to be scanned:   Page numbers:

(2) Copyright owner/publisher:
        Title of Book or Periodical:

        Date:     Volume number: Issue:

        Does the library own this item? Yes    No    Location/Call number:

        Title of Article or Chapter to be scanned:

        Author of Article or Chapter to be scanned:      Page numbers:

(3) Copyright owner/publisher:
        Title of Book or Periodical:

        Date:     Volume number: Issue:

        Does our library own this item? Yes    No    Location/Call number:

        Title of Article or Chapter to be scanned:

        Author of Article or Chapter to be scanned:      Page numbers:

(4) Copyright owner/publisher:
        Title of Book or Periodical:

        Date:     Volume number: Issue:

        Does our library own this item? Yes    No    Location/Call number:

        Title of Article or Chapter to be scanned:

        Author of Article or Chapter to be scanned:   Page numbers: