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Video Tape Categories
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Video Loan Registration Card
Note: Please complete ALL fields. Before submitting, please read our Video Borrower's Agreement Statement
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Local Address:
Local Telephone Number: |
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Permanent Home Address:
Permanent Telephone Number: |
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Department Name:
Department Address: Department Telephone Number: |
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Please
identify yourself (select one):
Faculty Staff Graduate Student Undergraduate Student |
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Do you agree to our Video Borrower's Agreement Statement?
YES NO |
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