Name:

Phone:

Email Address :

Connection to ASU:

Material to be Duplicated

Brief description of material to be duplicated (i.e. title, length, etc)

Number of Copies Requested:

Number of blank tapes or other media provided by patron:

Number of blank tapes or other media provided by EMC:

Please Note:  If you do not receive a confirmation or follow-up call within 24 hours of request submission, please contact: Library Media Services at 229-5605.