Fields marked with an asterisk are required.
*Instructor's name:
*Course number:
Course title:
*Department and address:
*Telephone:
E-mail:
*Number of students:
*Semester: Fall Spring Summer - 1st Session Summer - 2nd Session
*Reserve loan period: Room Use (4 Hours) Overnight 1 Day 3 Days
*Order recording if not available at the library: Yes No
*Format, (choose one): CD LP Cassette CD-ROM
Author:
*Title:
Call number:
Preferred performer (if applicable):
Reserve score also needed for each musical work: Yes No
Score call #:
Special instructions or comments:
The copyrighted materials which I am submitting to the Reserve Room at the Music Library for student use for the above class and semester are in compliance with the Copyright Law (17 U.S. Code).
* I understand and agree with this statement
If you have any questions, please contact Michael Rogan.