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	Borrowing InterLibrary Loan Form: Book/Video/Compact Disk/Cassette Please Note: All interlibrary loan requests require a valid VAPLD card. Fields marked with an "*" are required. *Title: Author/Performer/Artist: *Specify Format: Choose One Book DVD VHS Compact Disk Cassette Microfilm Will You Accept a Substitute Format?: Yes No Cancel If Not Received By: -- 01 02 03 04 05 06 07 08 09 10 11 12 -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- 2008 2009 *First Name : *Last Name: *E-Mail: *Phone: ( ) - *Library Card Number: Preferred Contact Method: E-mail Phone Notes:
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