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FLORIDA SOCIETY OF GOLDSMITHS |
| WEST COAST CHAPTER | |
| BOOK LENDING REQUEST FORM |
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BOOKS REQUESTED
| Catalog No. |
Book(s) Title |
Author | Rental Fee |
| SECOND CHOICE (IF DESIRED) | |||
| Sub Total | |||
| Postage & Handling | |||
| TOTAL |
| NAME:_______________________________ | EMAIL:________________________________ |
| ADDRESS:______________________________________________________________________ | |
| CITY:_________________________________ | STATE:________________ZIP:_____________ |
| TELEPHONE: HOME (___)_______________ | OFFICE: (___)________ CELL: (___)_________ |
| I understand all terms and conditions stated herein and agree to abide by them when requesting the West Coast Chapter Florida Society of Goldsmiths book(s) listed above. |
| REQUESTER'S SIGNATURE:_______________________________ DATE:________________________ |
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For Library Use Only |
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| Date Request Received:_____________ | Date Shipped:________________ | |
| Date Returned:____________________ | Amt. Received: _______________ | |
| ____________________________________________________________________________________________________ | ||
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