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Distance Learner - Article Request Form

Borrower Information

Name*

First Name

Last Name

Email Address*

Phone Number

Meredith CamCard Number

Meredith Status*

Undergraduate Student Graduate Student Faculty/Staff

Other:

Distance Learning Program*

Material Requested

Author of Article*

Title of Article*

Title of Journal*

Volume Number

Issue Number

Date of Publication*

Please provide year and month if possible.

Pages*

ISSN

Additional Information

Would you like to request a second article?*

Yes No

Material Requested - 2

Author of Article*

Title of Article*

Title of Journal*

Volume Number

Issue Number

Date of Publication*

Please provide year and month if possible.

Pages*

ISSN

Additional Information

Would you like to request a third article?*

Yes No

Material Requested - 3

Author of Article*

Title of Article*

Title of Journal*

Volume Number

Issue Number

Date of Publication*

Please provide year and month if possible.

Pages*

ISSN

Additional Information

Would you like to request a fourth article?*

Yes No

Material Requested - 4

Author of Article*

Title of Article*

Title of Journal*

Volume Number

Issue Number

Date of Publication*

Please provide year and month if possible.

Pages*

ISSN

Additional Information

Would you like to request a fifth article?*

Yes No

Material Requested - 5

Author of Article*

Title of Article*

Title of Journal*

Volume Number

Issue Number

Date of Publication*

Please provide year and month if possible.

Pages*

ISSN

Additional Information

If you need more than five items, submit this request then start a new form.

Copyright Agreement

Notice Warning Concerning Copyright Restrictions

*See Title 37 §201.14 of the Code of Federal Regulations: https://www.law.cornell.edu/cfr/text/37/201.14

The copyright law of the United States (title 17, United States Code) governs the making of photocopies or other reproductions 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 specific 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 purposes 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 judgment, fulfillment of the order would involve violation of copyright law.

I have read and agree to abide by the

Yes