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REQUEST FOR MATERIALS

Distance Learning students may request that materials be sent to them through the mail or delivered to their public library..

Please fill in the required information below. Requests made without all necessary information will not be honored.

FULL NAME (last, first, MI):

E-MAIL ADDRESS:

HOME PHONE NO.:

MAILING ADDRESS:

I will pick up at my local library (type name of library):

TITLE OF BOOK:

AUTHOR:

CALL NUMBER:


  

If there is inaccurate information on this page, please send correction or comments to: lrcdesk@chesapeake.edu

Chesapeake College • Wye Mills, MD • 410-822-5400
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