George C. Gordon Library

Distance Learning Book Requests

If you have read all of the instructions on this page, you may skip to the form.

Please be sure to enter your full name and your full email address (e.g., username@wpi.edu) below to allow us to efficiently process your request. You will also need to enter your library patron identification number, so it would be best to use this form in secure mode.

Distance learning students are permitted to borrow up to 10 items (books and journals) at a time. This form allows for five (5) books to be requested at a time. Required fields indicated with an *.

Name:
ID Number:     (example: 123456789)
Email:*
Street Address:*
City, State, Zip:*
Telephone:
Fax:


Book 1
Author:
Title:*
Publisher:
Published Date:
Edition:
Source of reference:
No longer required after this date:

Book 2
Author:
Title:
Publisher:
Published Date:
Edition:
Source of reference:
No longer required after this date:

Book 3
Author:
Title:
Publisher:
Published Date:
Edition:
Source of reference:
No longer required after this date:

Book 4
Author:
Title:
Publisher:
Published Date:
Edition:
Source of reference:
No longer required after this date:

Book 5
Author:
Title:
Publisher:
Published Date:
Edition:
Source of reference:
No longer required after this date:

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Last modified: Sep 08, 2009, 08:46 EDT
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George C. Gordon Library - Worcester Polytechnic Institute
100 Institute Road, Worcester, MA 01609-2280
Phone: +1-508-831-5410 - Fax: +1-508-831-5829 - Library Questions