HPL Article Request Form

Online Request for a Magazine Article (Interlibrary Loan)

Please read guidelines before filling out this form.

Customer Name
Customer Address Street/PO Box
City
State	Zip
Telephone
Email
Library Card Number:
Are you willing to pay 10 cents per page?	Yes No
Date not needed after:

Title of Journal or Newspaper:
Authors(s) of article:
Title of Article:
Place of Publication: (not required)
Month/Quarter, Year, Volume, Issue Number:
Page numbers:
Source of Information: (not required)
Method of Delivery:	Pickup Fax Mail
Location for pickup:
Date not needed after: (not required)
Additional information or comments: (not required)