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Interlibrary Loan
Book Request Form
For use by citizens of Terrell County or  those who  attend school or work in Terrell County only!
If our Library does not have the item you need, follow these four steps to request that we borrow it for you from another library. Use this form for a) books, b) dissertations, c) music scores, and d) newspapers on microform.
  1. Check our Library Catalog to verify that our library does not own the item.
  2. Fill out the form below, providing as much information as you can; DO NOT USE ABBREVIATIONS.
  3. Read the statement concerning copyright restrictions.
  4. Click the SUBMIT FORM box at the end.


    About the item you want:
    Source: (e.g. Life, Science, ect.):

    Place of


    Where you
    found this

    (e. g., Pines, Galileo, etc.):
    If fee is charged I will pay it (check one):

    Request Needed By (MM/DD/YYYY):

    Brief Comments/Notes:
    About You:

    NOTE: Orange fields are REQUIRED. If these fields are left blank, the form will not be processed.

    Your Name:
    Pines Card Number
    Your Address:
    Select One:
    Terrell County Resident
    Terrell County Educator
    Employed in Terrell County
    Day Phone:
    Alternate  Phone:
    FAX Number:

    The copyright law of the United States (Title 17, United States Code) governs the making of photocopy or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be "used for any 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 copying order if, in its judgment, fulfillment of the order would involve violation of copyright law.  

    To submit this request is to acknowledge and accept the fact that you have read the copyright statement above and agree to it.

    To submit this request is to acknowledge and accept the fact that you have read the copyright statement above and agree to it.


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2004   Terrell County Public Library
                Dawson, Georgia  31742
                Claudia Copeland, Librarian
                Romaine Richardson, Web Master
Last Updated:  July 25, 2004
All rights reserved. Reproduction in whole or in part without the express permission of Terrell County Public Library is  strictly prohibited.