Interlending and Document Supply Center - Book Request Form

Please complete a form for each request.
Check to make sure that you filled in all relevant fields, and give as much information as possible.
The form may be filled out in either Latin or Hebrew letters.

User Information

Name (Surname, First Name): *

Identity Card No. תעודת זהות: *

Address: Organization, Faculty, Department and Home: *

Phone Number: *

Department Phone:

E-mail Address: *

Status:

Payment: *

For those who wish to pay with a credit card, a staff member will call you regarding the payment.

Budgetary Transfer No.:

Name of Budgetary Transfer Owner:

If not available in Israel, are you willing to receive material from overseas? (extra cost)

Yes

No

Bibliographic Information

Type of Request:

Author/Editor/Inventor:

Book Title:

Series:

Volume:

Chapter:

Author of Chapter:

Pages:

Publisher:

Place of Publication:

Year:

Edition:

Would you use any edition?

Yes

No

Patent No.:

Please let us have your comments:

I agree to pay for this service *

I agree to pay for this service

I am aware that placing this order obligates me to pay any charges involved

For more information, or if you cannot use this form, please e-mail us: illmail@tauex.tau.ac.il
For further information, please contact the Interlending and Document Supply Center 03-6409752/7966

* = Required field