Springfield Library: WMRLS Regional Reference Service Fax Request Form

WMRLS/Springfield Library Regional Reference Service

LIBRARY AND TOWN _______________________________________________

LIBRARIAN____________________________________________________________

FAX NUMBER_______________________________DATE/TIME___________________

TELEPHONE NUMBER_________________________E-MAIL______________________

QUESTION:____________________________________________________________

_____________________________________________________________________

SOURCES CHECKED (INCLUDE EDITION OR DATE):___________________________

_____________________________________________________________________

REQUEST #__________

(RRSS USE)