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Videotape Library Order Request Form


Seidman Educational Resource Center Videotape Library Order Request Form
It is important to remember that your videotape order request sent to us electronically via the below form, must be confirmed before they are placed in the SERC order queue. Please call us if you do not receive confirmation within two days.
Date:
Name of Member:
(Placing Order)
Name of Person:
(Picking Up Order)
Organization:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Email Address:
Enter Your Videotape Selections below:
Videotape Title and Number: Pick Up Date: Show Date: Return Date:
 



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