ࡱ> &(%7  bjbjUU "7|7|lVVVVVVVj  j44444444`bbbbbb$ zV44444 VV44   4.V4V4` 4` T `VV`4( PzjbX``0`{R{` jjVVVVDocument Conversion Request Form Sampson-Livermore Library Name: ___________________________ Date: __________Time: _______ Phone: ________________ Email Address: __________________________ Please prepare a request form for each item. Item Submitted: (check the box for the particular item that is being requested to be re-formatted) _____ Book _____ Reserves (Electronic and/or Print) _____ Journal Article Requested Format: _____ Html _____ Word or WordPerfect _____ PDF _____ Large Print ITEM INFORMATION Please provide the following citation information, so that the Library can process your request more efficiently and expeditiously. Attach the original citation, such as a screen print to this form, if possible. Check with the Reference Desk for assistance. Book: Title, author, ISBN, and pages needed Reserve Item: Course and professor's name, name of reserve materials Journal Article: Journal title, volume, number/issue, date, page(s), author, title of article *If your request is from an electronic database (EbscoHost, Infotrac,etc.), please provide the name of the electronic database/resource: The Sampson-Livermore Library will make every effort to provide the alternative format to you within 2 business days. Incoming requests will be handled on a first-come, first-served basis. __________________________________________ ___________________ Signature (or authorized individual) Date **** LIBRARY USE ONLY Patron contacted by _________Date and time ___________Item picked up on ___________ 4/03 rlcii  !:<U-./05[\jD E ` a q r ø̫̞̑0JCJOJQJ^JaJ0JCJOJQJ^JaJ0JCJOJQJ^JaJCJOJQJ^JaJCJOJQJ^JCJ0JCJOJQJ^J0J>*0J>*OJQJ^J>*OJQJ^J OJQJ^J0JOJQJ^J-<V.0\E r $a$\$$a$$a$  1h/ =!"#$% iD@D Normal$CJOJQJ^J_HaJmH sH tH <A@< Default Paragraph FontT^`T Normal (Web)dd[$\$B*OJPJQJ^Jph"W`" Strong5\&X`& Emphasis6]<V.0\Er000000000000000000@0   09;G\d ZaCG333333EEoovvUNCP!H:\saylor\HTML\css\conversion.doc@HtP@UnknownGz Times New Roman5Symbol3& z ArialI& ??Arial Unicode MS"qh&& #20d2 Document Conversion Request FormUNCPUNCPOh+'0  ( D P \hpx!Document Conversion Request FormrosocuUNCPentNCPNCP Normal.dotnUNCPl.d1CPMicrosoft Word 9.0 @G@87ɟ@Ľ՜.+,0 hp   UNC-PEMBROKEn  !Document Conversion Request Form Title  !"#$'Root Entry FP)1Table WordDocument"SummaryInformation(DocumentSummaryInformation8CompObjjObjectPoolPP  FMicrosoft Word Document MSWordDocWord.Document.89q