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Journal Article Request Form
*Library Card Barcode Number
Date
 pick a date
*First Name
*Last Name
Organisation
*Department
*Phone / Pager
Preferred Method of Delivery
Article to be Mailed to
Fax
Email
Call to Collect
*Journal Title
Article Title
Author(s)
Volume
Page(s)
Issue
Year
Date Article Required By
 pick a date

Copyright Declaration

I declare that I require a copy of this article contained in a periodical publication or a copy of the whole or part of a published literary work, for the purpose of research or study and will not use it for any other purpose. I further declare that I have not previously been supplied with such a copy, in accordance with Section 49 of the Copyright Amendment Act, 1980.

*Copyright Declaration
     

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