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Media Reserve Form

Please ALLOW 2 DAYS for processing requests (excluding VOD).
You are responsible for copyright compliance.
Please review important Media Reserves Guidelines & FAQ.

* Required Fields
  Personal Info    
       
  Name:*  
  E-mail:*  
  Phone number:*  
  Course Title and Number:*  
       
  Item Info    
       
  Title:*  
  Call Number(s):*  
  Check Out Time: *  
       
  When needed    
  For multiple requests. This title is in my: Top 3   4-6   7-9  10+  
  Effective Date:*   mm/dd/yy  
  Removal Date:*   mm/dd/yy  
  Special Instructions:  
       
  Video on Demand  
  Important VOD Guidelines & FAQ  
  Make this available through VOD? Yes No  
  WebCT shell exists?     Why?
Yes No
 
  CRN:     Why?
 
       
  Login to browse Video Library's permanent Reserves  
       
       
  Terms: While we will do our best to protect your personal material, the library is not responsible for items that may be lost, stolen, or damaged. Your material will remain in the media library until you pick it up at the end of the semester unless otherwise specified.  
  I agree to the terms  
 
 Updated-March 2008 
Cal State San Marcos California State University San Marcos Library
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