Faculty Request for AV Materials

Phone: (773) 508-2666, Fax: (773) 508-2993

Please allow 2-4 business days to process Loyola-owned materials.
Any orders placed after 4 p.m. on Friday will be available Wednesday of the following week.

Rental materials will require 10-15 business days to process.

To place AV materials on reserve, please fill in reserves information on this form.

If you need to request Audiovisual Equipment, please contact ITS Media Services directly at x44444.

For rush requests, contact Michele Fisher at (773) 508-2666, Monday-Friday, before 4:00 p.m.

Please complete both the "Patron" and "Audiovisual Materials" Information sections. Incomplete forms will not be processed and will be returned to the sender.

PATRON INFORMATION:
*Your Name:
10 digit Barcode# from ID: (required)*
Department:
Address:
*Home Phone:
*Office Phone:
Loyola E-mail Address (please include the @luc.edu)*:
Status:
*Pickup Location:	Cudahy Library
	Lewis Library

AV MATERIALS INFORMATION:
Request Type:	Loyola Owned Material
(Select one)	Rental *(Faculty only)*
	Preview *(Faculty only)*
	Place AV Materials on Course Reserve

*Title:
Materials Type:
*Date Needed(mm/dd/yyyy hh:mm):
Alternate Date(mm/dd/yyyy hh:mm):

IF LOYOLA OWNED:
Call Number:

IF RENTAL OR PREVIEW: Faculty Use Only
Rental Source:
Rental Address:
Where did you see this cited?
Date Published:
IF RESERVES:
Course Title:
Course No.:

Additional Information about this request or Special Instructions:

For further information, you may call the AV Office at Ext. 8-2666 or (773) 508-2666.

Faculty Request for AV Materials

PATRON INFORMATION:

AV MATERIALS INFORMATION:

Additional Information about this request or Special Instructions: