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I have read Search Fees and understand that I will be billed for any searches that I request.

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Personal Information

Requestor:
Submitted by:	(Complete only if different than requestor.)
Instituion/Dept:
Phone/Pager:
Email:
HAM-TMC Library Card Number:

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Information About Your Search

Type of search wanted:
InfoExpress (Search of one database plus three relavant full-text articles.)
Database Search

Database(s) to search:

(See About Databases for a list of available databases and descriptions. )
MEDLINE CINAHL PsychInfo	Web of Science Please search the database most appropriate for my topic. Other database:

Describe the topic of your search. Please be as complete and specfic as possible:

Please indicate which of the following limits (if any) you would like imposed on your search. You may indicate more than one limit:

Animal Human Female Male

Infant Child Adolescent Adult

English Language Last five years Last two years Other Limits:

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Delivery & Payment

Process this search as a:
Rush ( There is a $10 additional fee for rush. You will receive results in 24 hours or less).
Regular (You will receive results in ?????)

Delivery method:
I will pick up in person at HAM-TMC Library Circulation Desk.
FAX it to me at:
Mail it to me at:

I prefer to pay by:
Cash
Check
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