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    Course Reserve Materials Request

    To place items in the PCC Library’s Course Reserves, please complete this form and click SUBMIT. You will receive email confirmation.

    First Name:      Last Name:

    I am:

            

    Email Address: 

    Phone Number: 


    Item Information

    Book/Journal/Article Title:

    Author:     ISBN:     Copyright:

    This is a required course text for:  

    This is a supplemental course text for: 

    Material Type:

            

    Checkout Period: 
            

    I will deliver this item to the PCC Library: 
            

    Please pick up this item at:


    This course reserve can remain available in the PCC Library until: