Family Name*

First Name*

Membership Barcode*

(no spaces)

Daytime Telephone Number

Email Address

Not wanted after

Date

Pickup Branch*

Author(s)

Journal Title*

Arcticle Title*

Issue/Year of Publication

Page Numbers

ISSN

Where did you see it?

Special requirement/comments

Please note that when you pickup the article you will be required to sign a copyright declaration.

The current charge is $13.20 (GST inclusive) and will apply to most standard articles requested.

If a charge ($13.20) applies to the item are you willing to pay for it? *

Yes     By selecting Yes, you are agreeing to proceed with the Inter-library loan request and pay $13.20 if charges apply.
No