This form is to be used by EOU faculty and staff who need to rent a film (i.e. a film not owned by Pierce Library.) Note that many films can be obtained directly through the Summit Catalog.

Items requested on this form will be available for pick-up by the requester at the Circulation Desk in Pierce Library. You will receive an email confirmation that your order has been scheduled.

You may only order items not owned by Pierce Library. Rental titles require a minimum of 2 weeks notice.

Use the 'Comments' section to submit any additional information that would be helpful in locating a title, such as source, director, publication year, distributor, etc.

All fields with an asterisk (*) must be completed. Incomplete requests cannot be filled until missing data is provided.

Faculty/Staff Information:
Name*:
Status*:	<%=pierce.Pierce.getSelect("status","not","not;faculty;staff","Select One;Faculty;Staff")%>
Phone Number*:
Email*:
Index Code*:
Course Information:
Term:
Course Number:
Course Title:
Film/Video Requested:
Title*:
Have You Used This Title Before:	Yes  No
View Date*:
Comments:

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