HELP SCREEN:
Media and Reserve Library Video Order Form

HOW THE FORM WORKS

HOW TO FILL OUT THIS FORM

Complete the following information:

Name:
Status: (select from options given)
Phone: (Your phone number)
E-Mail Address: (if you have one)
Department:
Office (Bldg and Room No.): (Your office location)
Course #:

TITLE 1: (Enter the title needed)
Pickup Date: (Enter the Pickup Date for Title 1)
Return Date: (Enter the Return Date for Title 1)
Catalog #: (Enter the catalog # for Title 1)

TITLE 2: (Enter the title needed)
Pickup Date: (Enter the Pickup Date for Title 2)
Return Date: (Enter the Return Date for Title 2)
Catalog #: (Enter the catalog # for Title 2)

TITLE 3: (Enter the title needed)
Pickup Date: (Enter the Pickup Date for Title 3)
Return Date: (Enter the Return Date for Title 3)
Catalog #: (Enter the catalog # for Title 3)


TITLE 4:
(Enter the title needed)
Pickup Date: (Enter the Pickup Date for Title 4)
Return Date: (Enter the Return Date for Title 4)
Catalog #: (Enter the catalog # for Title 4)

Enter any notes for this order in the NOTES section.

When finished SUBMIT your final request then use your browser's BACK or HOME function to exit from the following empty form.


Return to the Media and Reserve Library Video Order Form


01 August 2000