Last Name: *  

First Name: *  

Address: * (Street/Apt)   

City, State, Zip: *  

Current Home Telephone: * (with area code)  

Other Telephone: (with area code)      

Other Phone:   Work Cell Phone Pager Other

MCC E-mail Address: *  

MCC Students must enter their MCC Student E-mail Address in the box above. For information on your MCC Student E-mail Account, visit the MCC Students home page and click on the "Find your Account" or "Common Questions" links in the Email Help drop down menu at the top left corner of the page.

Please select MCC Status: *   Student Student - Taking Classes Off Campus Exclusively through SLN Administrator Faculty Staff

Students who are exclusively off campus through enrollment in only MCC SUNY Learning Network (SLN) online courses, should indicate their status as a distance learning student, by selecting "Student - Taking Classes Off Campus Exclusively through SLN" from the above menu.

Preferred contact: * (for questions, or for when the material arrives)   E-Mail Home Phone Other Phone U.S. Mail

Preferred pick-up location: *    Brighton - Leroy V. Good Library Damon Library E-Mail article Mail article - I'm exclusively off campus through SLN

Enter Journal or Magazine Article Information:   (To request a book, go to the BOOK FORM)

Name of Journal or Magazine: *  

Volume Number: *        Issue Number:     

Date: *  

Pages: *  

Title of Article: *  

Author(s) of Article:   

Source of Reference:   

I no longer need this article after this date: 

In rare cases, there could be a charge associated with Interlibrary Loan (ILL).

What would you be willing to pay for the above item ?   $0 Up to $10 Up to $20 Over $20

Additional Notes:

By submitting this Interlibrary Loan request, I agree to abide by all following copyright restrictions:

The copyright law of the United States (Title 17, U.S. Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries are authorized to furnish a photocopy or other reproduction. One of these specific conditions is that the photocopy or reproduction is not to be "used for any other purpose other than private study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use," that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a photocopy order, if, in its judgment, fulfillment of the order would involve a violation of copyright law.

I REQUEST A COPY OF THE WORK ON THIS FORM FOR PURPOSES OF PRIVATE STUDY, SCHOLARSHIP OR RESEARCH.