Susquehanna University - Blough-Weis Library Multimedia Reserve Request Form

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Multimedia Services Reserve Request

Please use this form to submit requests to place films, videos, language tapes, scores or sound recordings on reserve in the Library's Media Center. The status of your request will be confirmed by email or telephone.

ADVANCE NOTICE IS REQUIRED.
Please allow two working days (Monday- Friday) to process materials; additional time may be required to make a large number of multiple copies. Materials must be submitted no later than 1 P.M. Wednesday afternoon to be available the following weekend.

NOTE: To request AV equipment or facilities or to arrange showings of films or videos, please use the Multimedia Services request form

Lastname, Firstname:
(MUST be in this format)

Email Address:

Telephone:

Course Name:

Course Number:

No. of Students:

DATES:

Put on reserve:

Take off reserve:

MATERIAL TO BE PLACED ON RESERVE:

Title of Work:

Composer, Director, etc.:

Version
(Producer/Performer, etc.):

Library or Personal Copy?

No. of Copies to be Made:

Portion of material to be reserved:

If above choice is not whole work, please specify sections
to be copied, and any additional instructions:

[Library Resources] [Request Forms] [Library Catalogs] [Library Services] [Multimedia Center]
[BWL MAINPAGE] [SU MAINPAGE]

Robert Gessner, Systems Librarian, Blough-Weis Library
Susquehanna University, Selinsgrove, PA 17870-1164

Lastname, Firstname: (MUST be in this format)
Email Address:
Telephone:
Course Name:
Course Number:
No. of Students:
DATES:
Put on reserve:
Take off reserve:

MATERIAL TO BE PLACED ON RESERVE:
Title of Work:
Composer, Director, etc.:
Version (Producer/Performer, etc.):
Library or Personal Copy?
No. of Copies to be Made:
Portion of material to be reserved:
If above choice is not whole work, please specify sections to be copied, and any additional instructions: