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Interlibrary Loans


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      Name:*
    
    
      
    
  



  
    
      Telephone*
    
    
      
    
  



  
    
      Berthoud Library Card Number*
    
    
      
    
  



  
    
      Title*
    
    
      
    
  



  
    
      Author*
    
    
      
    
  



  
    
      Preferred format (if desired format unavailable, printed material will be ordered instead)*
    
    
       Book

       Audio CD

       Music CD

       DVD
    
  



  
    
      Additional information

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