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2. First Name*
3. Last Name*
5. Library Card Number*
7. Email Address
9. Phone Number*
11. Title*
13. Author/Artist
15. Format
    -- Select One --BookLarge Print BookBook on CDMusic CDDVDBlu-rayMagazineOther
17. ISBN, ISSN or UPC
19. Additional information, such as edition or volume number, issue month/year, publisher, and/or publication date
21. Link to San Mateo Community College Record if applicable
23. If the item is not available for free from the San Mateo Community College Libraries, I am willing to pay a $13 interlibrary loan fee to get the item from a library outside of San Mateo County.*

    1. Yes
    2. No
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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