HAM-TMC Library Request for Interlibrary Loan

Telephone: 713.799.7179 | Fax: 713.790.7056


Date:
HAM-TMC Library Card Number:
Submitted by:
Name:
(If different from "Submitted by")
Email:
Phone/Pager:
Date Needed:
Institution:
Department:

Delivery:

Pick-Up

  FAX     Fax #:
  Email     (Is email address you gave above correct?)
 

Mail       Mailing Address:

  Rush (within 24 hours) $10 per request surcharge is applied
  >>>>Please speak with an ILL Librarian (713.799.7179) concerning Rush requests.<<<<

Payment:

Cash/Check/VISA/MC/AmEx/Discover

  Grant/PO     Entire PO #:
  Invoice (Only Faculty, HCMS Physicians, & Fee-based clients will be invoiced.)

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 materials. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of the 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. The HAM-TMC Library reserves the right to refuse to accept a request if, in its judgement, the fulfillment of the request would involve violation of the copyright law.


Journal Article Citation
(Please provide complete citation)
Medline UI #:

Title of Journal:
Volume:       Number/Issue:  
Pages:            Year:
Title of Article:
Author(s):

 

Book Chapter Citation/Audiovisual
(Please provide complete citation)

Title of Book:
Chapter Title:
Author(s):
Pages:      Copyright Date:      Edition:
Publisher:      
Publication Place:

 

The following fees apply:*

Cardholder Fees:
$2.00 if obtained through consortium
12.00 if NOT obtained through consortium
$10.00 Rush surcharge per rush request.

Non-Cardholder Fees:
$18.00 per request
$10.00 Rush surcharge per rush request.

*If eligible to be billed, please wait for invoice.

Cardholders . . . Please check here if you do not wish to pay more than the $2.00 local fee. Your request will be limited to the consortium libraries. Keep in mind that not all documents can be obtained through the consortium.  


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Houston Academy of Medicine-
Texas Medical Center Library

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Houston, Texas 77030-2809

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April 12, 2001