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Interlending & Document Supply Center
Journal 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.

User Information
*Name: family name,first name
*Identity card no. תעודת זהות
*Address: Organization, faculty, department and home
Department Phone
Fax Number
*Home Phone
*E mail address
* Payment
Please notice: For those who pay with credit card !
Please fill in a form with your credit card details
Budgetary Transfer no.
Name of Budgetary Transfer Owner
Please notify us by
Please send the
requested material
If not available in Israel, are you willing to receive material from overseas? (extra cost)

Bibliographic Information
*Journal Title
*Volume Issue Supplement
*month/year *Pages
Article Author
*Article Title

Copyright and Usage Restrictions
Please let us have your comments
*I agree to pay for this service
* Hereby I confirm that the required material is for research purpose only

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.

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Book/Patent Request Form
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Telephones:  Reference  03-6407975/6 Circulation  03-6409195