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Print, Audio or Visual Reserve Submissions Form
Do not use this form for articles, book chapters or electronic links.
*=Required Fields


*Course Title:
*Course Number:
*Semester: Fall Spring Summer Interim
*Instructor: (First Name, Last Name)
*Phone#: (extension or cell)
*Mail Code:
*eMail: (WSU eMail preferred)
Item Description
Book Video Kit Study Guide/Test Audio Other
*1. Title: (of Book, Video, Kit or Study Guide/Test, etc.)
*2. Author:


*3. Library Owned? Yes No
If "Yes," Call Number:
Use Specifications
*Requested Loan Period:
2 Hour 5 Hour 1 Day 3 Day 1 Week
*Copyright Status
Public Domain
Copyrighted Material: Intended use is in conformance with "Fair Use" standards.
Copyrighted Material: Permission from Copyright holder is required and accompanying reserve material.
In order to prevent spamming, please certify that you are a valid user by submiting an authentic request by typing the word 'valid' in the text field below.
I certify that This request to place material on reserve does not violate copyright law and is, to the best of my knowledge, in compliance with the intent and rules governing the "Fair Use" of copyrighted materials.

Updated January 22, 2010 . Please send comments to Misty Allen

Stewart Library - Weber State University - Ogden, Utah 84408. (801) 626-6403 - Copyright © 2008 ALL Rights Reserved