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STAR NET Region IV Resource Center
Materials Request Form

1000 South Illinois St., Belleville, IL 62220
Phone: 618-825-3968 ~ Email: starlibrary@sccroe50.org

      
  • All STAR NET Resource Library materials are due back at STAR NET 3 weeks after order.   
  • If a 3 week extension is necessary, contact (618) 825-3968.   
  • Materials are to be returned to the same location from which they were picked up.   
  • Damages or materials not returned will be billed to the borrower.

BORROWER INFORMATION
Name:
Home Address:
Home City/St/Zip:
Home Phone:
Email:

Work: School/Agency:
Work Address:
Work City/St/Zip:
Work Phone:

HANDLING OF REQUESTED MATERIALS

Note: You MUST notify the librarian to expect a delivery
for YOU via the Library Courier System.


Send Materials to:

City Name:

Library Name:




AGREEMENT
I agree to the following conditions.

I accept full responsibility for the items I receive. In the event of loss or damage, I agree to reimburse the STAR NET Resource Center the full cost of replacing the borrowed item(s). I understand that materials are lent for preview purposes only. Any reproduction of software by myself or others, while the items are in my possession, is in violation of federal copyright laws. I also understand that duplication of print materials borrowed from the center for any other than personal use may be prohibited by law. Materials may not be requested unless the agreement is acknowledged.

REQUESTED MATERIALS
Item 1: Call #   Title: 
Item 2: Call #   Title: 
Item 3: Call #   Title: 
Item 4: Call #   Title: 

COMMENTS

Press to send your entry or to reset choices.

Please wait for a response page after pressing send.
A recap of the submitted information will be returned.



2019 STAR NET Region IV - St. Clair County Regional Office of Education