University of South Alabama Biomedical Library

Article/Book Request

Required fields have an asterisk* next to them and are in red.
*Name: 
 *Billing Address: 
Mailing Address (if different):
 *City: 
*State: 
 *Zip Code: 
*Daytime Phone Number: 
 Evening Phone Number:
Fax Number: 
 Pager: 
*E-mail Address: 
  
*Group Affiliation *Status
Department  
 *Not needed after: 

Photocopy service of items that we own normally takes 24 hours (excluding weekends and holidays).  Getting articles
from other libraries takes an average of 10 working days. (Anything faster than this constitutes a rush order and should
be phoned in to 251-460-6891.  There will be a $5 additional fee for a rush request.)

*Payment Terms 
There may or may not be fees for requesting an article or book, call 251-460-6891 for more information (prices subject to change).

*yes I agree to pay any fees incurred by this request.  Fees are subject to change.

Upon receiving an invoice, payment should be made as follows (all payments in US$ only):
- USA Account or check made payable to "USA Biomedical Library"
or telephone (251) - 460 - 6885 to give VISA or Mastercard information
or mail information (and request) to:

University of South Alabama
Interlibrary Loan Department
Biomedical Library
BLB 216
Mobile, AL 36688 USA

*Delivery Method
Mail  Pick-Up  Fax (fax number required at top)  Prospero (pdf file - notification via email - web delivery)
Journal: (we need as much information as you have to promptly and accurately fill requests)
 
Journal Title Volume
Issue Year 
Pages  Medline AN/UI/PMID#
Author of article     
Title of article     
Book:(we need as much information as you have to promptly and accurately fill requests)
 
Author or editor
Title of book 
Publisher, Edition and Date of book 
Comments (If you only need a chapter or a few pages, please put that information here): 
The library will only fulfill requests where the user has signified YES to the copyright restriction statement
below by typing signature.
PLEASE READ AND SIGN - NOTICE: WARNING CONCERNING COPYRIGHT RESTRICTIONS
The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be "used for any purpose other than private study, scholarship or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use", that user may be liable for copyright infringement.

This institution reserves the right to refuse to accept a copying order if, in its judgement, fulfillment of the order would involve violation of copyright law.

*Signature X

To order multiple items, after hitting the send request' button, erase the journal or book information and resend. This will keep you
from having to fill out the top part of the form again.

Do you have any questions or comments?  You may contact the Document Delivery Department at (251)460-6891 or
fax (251)460-7638 or email medlib@bbl.usouthal.edu
 




DISCLAIMER
The URL for this page is http://southmed.usouthal.edu/library/docdel/forms/illform.html
Last Update 01/11/06
To make comments, suggestions, or get more information, send email to medlib@bbl.usouthal.edu or call (251)-460-7044.