From: Subject: VCAL Faculty Reciprocal Borrowing Authorization Form Date: Fri, 5 Jun 2009 16:03:45 -0400 MIME-Version: 1.0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: file://C:\Documents and Settings\jpayne\Local Settings\Temporary Internet Files\OLK9E\VCAL Borrowing Auth.html X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5579 VCAL Faculty Reciprocal Borrowing Authorization = Form

VCAL Faculty Reciprocal Borrowing=20 Authorization


Borrower details
Name:
Permanent address:
Phone: E-mail (required):
Home institution: ID/barcode # (if available):

I, the borrower, agree to abide by circulation policies of the = lending=20 library including due dates, overdue fines, non-return fees and = any other=20 charges which I may incur. Items may be returned to either the = lending=20 library or my home library unless otherwise noted. I have read and = agree=20 to the VCAL Faculty Reciprocal Borrowing rules (available from = your home=20 library or at=20 = http://vermontlibraries.org/vcal)

Signature: __________________________________= ___________ Date: ___________________=20

Borrower's home = library=20 authorization
Authorized home library personnel:
=

Name (print): ___________________________________ Title= : ________________

=

Signature: ______________________________________ Date: = ;_______________

Authorization is good for up to one academic year: this=20 authorization expires on May 30 of the academic year issued, or is = valid=20 for a shorter period=20 until: ______________________


Notes:=20
Borrower Notes:
Lending = Institution=20 Notes:
=20