Please check the Catalog before requesting an item to be borrowed from another library. Interlibrary Loan Request Form Borrower is responsible for reading Interlibrary Loan Policy. $1.00 charge for each item not picked up. About the item you are requesting: Please use other form for magazine or journal articles Author: (Last name, first name) Item Title: Material type: Book Large Print Book Audiobook Video Microfilm Music cassette Music CD   About you: Your name: Phone: Your E-mail Address: Deadline (if applicable): How may we contact you when your item is available? Phone (Day) Phone (Evening) Do you have any other information that might help us obtain this item for you?

Questions to Hershey Public Library's Interlibrary Loan Department Phone:(717) 533-6555 ext.3723 E-mail: illrequest@derrytownship.org