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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.
family name,first name
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
Deposit Account by check
Deposit Account by credit card
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
Phone - Work
Phone - Home
Please send the
Leave in Library
If not available in Israel, are you willing to receive material from overseas? (extra cost)
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
Reference 03-6407975/6 Circulation 03-6409195
Updated 13/01/2014 12:41:37