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Interlending & Document Supply Center
Book/Patent Request Form
Please complete a form for each request.
Check to make sure that you filled in all relevant fields.
Fields with an asterisk (*) are mandatory.
The form must be filled out in Latin letters only
Identity card no. תעודת זהות
Address: Organization, faculty, department and home
E mail address
M.a, M.s.c staff,students
B.a, B.s.c staff, students
למשלמים בכרטיס אשראי
נא למלא תחילה את
הטופס עם פרטי כרטיס האשראי
Deposit Account by check
Deposit Account by credit card
Budgetary Transfer no.
Please notify us by
Phone - Work
Phone - Home
Please send the requested material
Leave in Library
If not available in Israel, are you willing to receive material from overseas? (extra cost)
Type of Request
Author of Chapter
Place of Publication Publisher and date
Would you use any edition
Please let us have your comments
I agree to pay for this service
I am aware that placing this order obligates me to pay any charges involved
Once you fill in your personal details you have the option to save your personal information in your personal computer by pressing the "send form and save personal information" button.
Then in the next requests you automatically get your personal information.
Reference 03-6407975/6 Circulation 03-6409195
Updated 13/01/2014 12:41:37