Date:
Please keep the same format
IE.: September 01 2006
DESK COPY LOAN FORM
Bookstore Copy
TITLE:
AUTHOR:
PRICE:
ISBN :
COURSE NO:
Ext:
INSTRUCTOR'S NAME:
PICKED UP BY:
BILLING DATE:
(SIX WEEKS AFTER DATE)
NOTE: Returned books must be unmarked and in mint condition.
IF BOOK(S) NOT RECEIVED IN THE BOOKSTORE BY:
NO REFUNDS OR EXCHANGES AFTER BILLING DATE.
Account Number
I hereby certify that I am authorized to sign for this account
number and that the funds are available in this account number.
Print Form
Please ensure that both signatures are present and
the account number is f illed in
Bookstore Use Only
Date Received
Authorized signature
(Chair)
Acct
BK #
ISBN
Date:
Please keep the same format
IE.: September 01 2006
DESK COPY LOAN FORM
Customer Copy
TITLE:
AUTHOR:
PRICE:
ISBN :
COURSE NO:
Ext:
INSTRUCTOR'S NAME:
PICKED UP BY:
BILLING DATE:
(SIX WEEKS AFTER DATE)
NOTE: Returned books must be unmarked and in mint condition.
IF BOOK(S) NOT RECEIVED IN THE BOOKSTORE BY:
(Billing Date)
Account Number
I hereby certify that I am authorized to sign for this account
number and that the funds are available in this account number.
Customer copy does not require a signature
NO REFUNDS OR EXCHANGES AFTER BILLING DATE.
Customer copy does not require a
signature
Authorized signature
(Chair)