Document Delivery Request form

Library to library transactions only: an invoice for payment will be sent at the end of the month.

Request for a loan
Library Name
Institution
Postal Address
Email
Telephone No		Fax
Author(s)/Editor(s)
Title or conference name
Place of publication
Publisher
Date
Edition
ISBN
Request for a chapter of a book or conference paper from the above
Author(s) of chapter or paper :
Title of chapter or paper :
Pages :
Request for a journal article
Journal title
Volume
Issue
Date
Pages
Author(s) of article
Title of article
Request type	Core Priority Rush

Copyright declaration

This request complies with Section 50 of the Australian Copyright Act.