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2. Are you a Botetourt County resident?*

   1. Yes
   2. No

   Only Botetourt County residents may request materials through our interlibrary loan service. If you reside elsewhere, please contact your home library for assistance. 

4. First Name*
5. Last Name*
7. Phone Number
8. Email Address
10. Library card number*
12. What type of material are you looking for?*
    -- Select One --Book (regular print)Book (large print)DVDCDArticleMicroformOther
13. If "Other," please describe.
15. Title*

    If no title, please describe

16. Author
18. ISBN

    If applicable

19. OCLC number

    Find it on Worldcat.org

21. Any other details that will help us find the right material?
23. Needed by:
    Needed by:
24. Willing to pay ___ above the $3.00 fee, if needed

    1. No extra fees
    2. $5.00
    3. $10.00
    4. $15.00
    5. $20.00
    6. Willing to negotiate - ask me

    In case the lending library charges an additional fee

26. If your request is filled, where would you like to pick up the material?*

    1. Blue Ridge Library
    2. Buchanan Library
    3. Eagle Rock Library
    4. Fincastle Library
27. How do you prefer to be contacted?*

    1. Email
    2. Phone

29. I agree to abide by Botetourt County Library's Interlibrary Loan Policy. I understand that there is no guarantee that the library will be able to obtain the material I want or meet my deadline. I agree to pay any fees associated with using this service and borrowing materials from other institutions. 

31. Full Name*
32. Date*
    Date
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field