Text Only Course Reserve Form

USNA FACULTY INFORMATION:
Your name:
Telephone number:
E-mail address:
Department:
Mail Stop:
Course name and number:
Number of students in class:

RESERVE PERIOD (check one):
1st Semester -- 2nd Semester -- Summer -- Other

ITEMS FOR COURSE RESERVE:
Item Requested:
Call Number:
Author:
Title:
Edition:
Do you want this edition only? YES NO
Circulation Period for this item (check one):
Library Use Only -- 1 day -- 3 days -- 1 week

Item Requested:
Call Number:
Author:
Title:
Edition:
Do you want this edition only? YES NO
Circulation Period for this item (check one):
Library Use Only -- 1 day -- 3 days -- 1 week

Item Requested:
Call Number:
Author:
Title:
Edition:
Do you want this edition only? YES NO
Circulation Period for this item (check one):
Library Use Only -- 1 day -- 3 days -- 1 week

Item Requested:
Call Number:
Author:
Title:
Edition:
Do you want this edition only? YES NO
Circulation Period for this item (check one):
Library Use Only -- 1 day -- 3 days -- 1 week

Item Requested:
Call Number:
Author:
Title:
Edition:
Do you want this edition only? YES NO
Circulation Period for this item (check one):
Library Use Only -- 1 day -- 3 days -- 1 week