Delivery Request Form

Please complete as much of the following information as possible.

* = Required Fields

Date Needed*

Your Name*

Phone number*

Complete E-mail address (jdoe@hamilton.edu)*

Please indicate whether office delivery or pickup at Burke.

Special Instructions

How many different items are you requesting?

1 2 3 4 5

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Item 1 Title* Author Call Number of Book, or Journal Name, Vol., Year, Page

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Item 2 Title* Author Call Number of Book, or Journal Name, Vol., Year, Page

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Item 3 Title* Author Call Number of Book, or Journal Name, Vol., Year, Page

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Item 4 Title* Author Call Number of Book, or Journal Name, Vol., Year, Page

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Item 5 Title* Author Call Number of Book, or Journal Name, Vol., Year, Page

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