inter-library loan: book request

Inter-library Loan: Book Request - The Women's

Book details (only one book per form)

* denotes a mandatory field

*Book Title *Author/Editor: Series (if any) Publisher Edition *Year Chapter author/s Pages Chapter title *Not required after date

Copyright Declaration

*I declare: I require a copy solely for the purpose of research or study. I have not previously been supplied with a copy of this item by an authorised officer of the Women's library. *Name *Security P.I.N. Department *Organisation *Date of request *Phone Pager *Email *Payment Method Cost Centre  Private Payment  RANZCOG FLP   If for hospital purposes, a departmental cost centre must be quoted. If for private purposes (including coursework) a fee per book applies. If for RANZCOG flexible learning program, please indicate. Cost Centre