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Media Item Booking Form

Please fill out this form completely in order to reserve media materials for use on a future date.We recommend that you try to book materials at least seven days in advance to allow checked-out materials to be returned on time for your booking.

* = required field.


USM ID (wXXXXXX) *

Please enter your emple.
Email *

Please enter your Email.Please enter a vaild email address.
Name: *

Please enter a name.
Phone Number: *

Please enter a telephone number.
Please select your status.*

If "Other" *

Title * Format * Which Library? * Call Number * Date Needed *
Please give a title. Please give a format. Please enter a call number. Please give a date needed by.

Please pick up booked media material at the Cook Library Reading Room desk.

Please Note:
While every effort is made to make the material you have booked available, from time to time, items may be unavailable. It is recommended that classes not be programmed solely around the use of the booked materials.

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