Audiovisual Lending Library:
Request Form

Note: Some of the tapes are of poor quality.

The Item(s) Requested.
Item Code & Title:
1:
2:
3:

Mailing Address
Name:
Address 1:
Address 2:
City, State, Zip:
Tel:
Fax:
E-mail:


I plan to use the requested item(s) for my teaching.
School:
Subject:
Grade Level:

I need the item(s) by:
*The date must be at least one week from today.

Special Instruction:


I understand that the requested item(s) is on loan to me for teaching purposes only and is not to be given to any other person. I agree to return the item(s) to EASC within one week in good working condition. I agree to pay for the return shipping. If the loaned item(s) are damaged, lost or stolen, I agree to replace them.

For more information, please contact:
Attn: Lending Library
East Asian Studies Center
Indiana University
Memorial Hall West 207
1021 E. 3rd St.
Bloomington, IN 47405-7005
Tel (812) 855-3765
Fax (812) 855-7762
E-mail easc@indiana.edu