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Distance Learning Request

This page is maintained by Garret Rumohr — last modified Thursday, July 24, 2008. 04:26 PM

Distance Learning Request Form

Please note: Do not complete this form until you have read the information on Lending Services for Distance Learning Students.

Requester Information

Full Name (Required)

Please enter your full name as entered in UNT records.

E-Mail Address (Required)

Please enter your e-mail address

Mailing Address - Street:

Please enter the street line of your mailing address.

Mailing Address - City, State, Zip Code:

Please enter your City, State, and Zip Code.

Additional information

Please enter any additional information, such as fax # or other delivery information, and other comments you may have.

Please fill out completely with ONE form submission per article and/or book.

Reserve Material

Course Number

Instructor's Name

Call Number

Title

Chapter Title

Chapter Page Numbers

Journal Article

Journal Title

Article Title

Year

Volume

Issue

Pages

Book Request

Call Number

Title

Author

Chapter Title

Chapter Page Numbers

Info

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Distance Learning Request