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Material Reserve Request Form

You can use this form to request materials that you would like to use for your class. Please allow up to two weeks for the material to be ready for use. We will contact you when the material is ready. If you have any questions regarding this service feel free to contact Alexis Moye at (252) 744-6614. If you have several items to put on reserve you can use our downloadable forms for Books and AV's or for Articles.

Instructor Information

First Name	Last Name
Phone Number
Email
Course (Prefix and Number)	Semester (e.g., Fall 2009)

Material Information

First Item

Title	Author	Call Number (if known)
Volume (if applicable)	Issue (if applicable)	Page Numbers (if applicable)

Second Item

Title	Author	Call Number (if known)
Volume (if applicable)	Issue (if applicable)	Page Numbers (if applicable)

Third Item

Title	Author	Call Number (if known)
Volume (if applicable)	Issue (if applicable)	Page Numbers (if applicable)

By clicking the submit button I acknowledge the requests content complies with East Carolina University's copyright requirements.