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RARE Book & Journal Article Request Form

Please fill in as much information as possible. Any missing information
may result in delays. One request per form, please.

Submitted by: Phone (w): (h):


Mailing address:


E-mail address:

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REQUEST FOR BOOK

Article/Editor:

Title of Book:

Year of Publication: Publisher: Place:

Specific article in book needed? Please supply article's author, title and pages in next section.


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REQUEST FOR JOURNAL/SERIES/BOOK ARTICLE

Journal Title:

Volume: Issue: Pages: Date:

Author(s) of Article:

Title Article:


 

For other questions, please contact Nancy Klawitter at (608) 263-9797.

 

© 2006, University of Wisconsin Department of Ophthalmology and Visual Sciences