Pickler Memorial Library

Reserve Request Form
Pickler Memorial Library - Truman State University

(Prefer a print form? Click HERE for PDF to print, complete, and submit to the Library.)

Required fields are preceded by an asterisk (*)

*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): Course number (e.g. HIST 103): Not more than 12 different digitized copies 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    
Email me a copy of this request. (Will be sent to address entered above.)  

Copy Request 1*Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
*Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 2Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 3Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 4Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 5Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 6Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 7Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 8Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 9Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 10Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 11Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request:
Copy Request 12Title of Article or Chapter to be scanned:
Author of Article or Chapter to be scanned:
Title of Book or Periodical:
Date:    Volume:    Issue:    Pages:
Does our library own this item? Yes No
Call Number:
Notes about this request: