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Video/DVD Booking Form

Date of request:

Contact Information

*Your Name (Last, First):
*Your University ID Number:
*Telephone Number:
*FULL email address:

Item Information

*Title of Video/DVD:
Call Number:
Part(s) #:
Guide? Yes  No
*First Day Video/DVD is needed:
Last Day Video/DVD is needed:
* Indicates Required Values


Andersen Library
University of Wisconsin-Whitewater
800 West Main Street
Whitewater, WI 53190-1790

Contact the Library

Circulation Desk: 262-472-5511
Reference Desk: 262-472-1032