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<#INCLUDE filename="include_header.html">
<#INCLUDE filename="include_menu.html">
<form action="illiad.dll" method="post" name="EditLoanRequest" class="lib-login">
<input type="hidden" name="ILLiadForm" value="EditLoanRequest" />
<input type="hidden" name="Username" value="<#PARAM name="Username">" />
<input type="hidden" name="SessionID" value="<#PARAM name="SessionID">" />
<input type="hidden" name="TransactionNumber" value="<#PARAM name="TransactionNumber">" />
<h4>Book, Movie, Music Request</h4>
<p style="font-size: 1.2em; margin-top: -2em;"><strong>We cannot order textbooks through Document Delivery.</strong></p>
<div class="line">
<div class="span1 unit">
<!-- Book author input -->
<label for="LoanAuthor"><span class="req">*</span> <span class="<#ERROR name="ERRORLoanAuthor">">Author(s) / Editor(s)</span></label>
<input id="LoanAuthor" name="LoanAuthor" tabindex="1" type="text" value="<#PARAM name="LoanAuthor">" />
</div>
</div>
<div class="line">
<div class="span1 unit">
<!-- Book title input -->
<label for="LoanTitle"><span class="req">*</span> <span class="<#ERROR name="ERRORLoanTitle">">Title</span></label>
<p style="margin:0;padding:0;">Please do not abbreviate</p>
<textarea id="LoanTitle" name="LoanTitle" tabindex="2"><#PARAM name="LoanTitle"></textarea>
</div>
</div>
<div class="line">
<!-- Book publisher input -->
<div class="span2 unit left">
<label for="LoanPublisher"><span class="<#ERROR name="ERRORLoanPublisher">">Publisher</span></label>
<input id="LoanPublisher" name="LoanPublisher" tabindex="3" type="text" value="<#PARAM name="LoanPublisher">" />
</div>
<!-- Book publication place input -->
<div class="span2 unit left lastUnit">
<label for="LoanPlace"><span class="<#ERROR name="ERRORLoanPlace">">Place of Publication</span></label>
<input id="LoanPlace" name="LoanPlace" tabindex="4" type="text" value="<#PARAM name="LoanPlace">" />
</div>
</div>
<div class="line">
<!-- Book publication date input -->
<div class="span4 unit left">
<label for="LoanDate"><span class="<#ERROR name="ERRORLoanDate">">Date of Publication</span></label>
<input id="LoanDate" name="LoanDate" tabindex="5" type="text" value="<#PARAM name="LoanDate">" />
</div>
<!-- Book publication edition input -->
<div class="span4 unit left>
<label for="LoanEdition"><span class="<#ERROR name="ERRORLoanEdition">">Edition</span></input>
<input id="LoanEdition" name="LoanEdition" tabindex="6" type="text" value="<#PARAM name="LoanEdition">" />
</div>
<!-- ISBN input -->
<div class="span2 unit left lastUnit">
<label for="ISSN"><span class="<#ERROR name="ERRORISSN">"><abbr title="International Standard Book Number">ISBN</abbr> (Helps us get it faster)</span></label>
<input id="ISSN" name="ISSN" tabindex="7" type="text" value="<#PARAM name="ISSN">" />
</div>
</div>
<div class="line">
<!-- OCLC or Docline UI Number -->
<div class="span2 left unit">
<label for="ESPNumber"><span class="<#ERROR name="ERRORESPNumber">"><abbr title="Online Computer Library center">OCLC</abbr> or Docline <abbr title="Unique Identifier">UI</a> Number</span></label>
<input id="ESPNumber" name="ESPNumber" tabindex="8" type="text" value="<#PARAM name="ESPNumber">">
</div>
<!-- Call number input -->
<div class="span2 unit left lastUnit">
<label for="CallNumber"><span class="<#ERROR name="ERRORCallNumber">">Call Number</span></label>
<input id="CallNumber" name="CallNumber" tabindex="9" type="text" value="<#PARAM name="CallNumber">" />
</div>
</div>
<hr />
<div class="line">
<div class="span1 unit">
<!-- Notes input -->
<label for="Notes"><span class="<#ERROR name="ERRORNotes">">Notes</span></label>
<p style="margin:0;padding:0;">Put any information here that may help us find the item.</p>
<textarea id="Notes" name="Notes" tabindex="10"><#PARAM name="Notes"></textarea>
</div>
</div>
<div class="line">
<!-- Alternate edition input -->
<div class="span2 unit left">
<label for="AcceptAlternateEdition"><span class="<#ERROR name="ERRORAcceptAlternateEdition">">Alternate edition okay?</span>
<p style="margin:0;padding:0;">Specify specific edition above.</p>
<select id="AcceptAlternateEdition" name="AcceptAlternateEdition" tabindex="11">
<optgroup label="Your selection">
<option selected><#PARAM name="AcceptAlternateEdition"></option>
</optgroup>
<optgroup label="Change your selection">
<option>No</option>
<option>Yes</option>
</optgroup>
</select>
</div>
<!-- Non-English input -->
<div class="span2 unit left lastUnit">
<label for="AcceptNonEnglish"><span class="<#ERROR name="ERRORAcceptNonEnglish">">Language other than English okay?</span></label>
<p style="margin:0;padding:0;">Specify acceptable languages in the notes field.</p>
<select id="AcceptNonEnglish" name="AcceptNonEnglish" tabindex="12">
<optgroup label="Your selection">
<option selected><#PARAM name="AcceptNonEnglish"></option>
</optgroup>
<optgroup label="Change your selection">
<option>No</option>
<option>Yes</option>
</optgroup>
</select>
</div>
</div>
<div class="line">
<!-- Not wanted after date -->
<div class="span2 unit left">
<label for="NotWantedAfter"><span class="req">*</span> <span class="<#ERROR name="ERRORNotWantedAfter">">Not Wanted After Date</span></label>
<p style="margin:0;padding:0;">(MM/DD/YYYY)</p>
<input id="NotWantedAfter" name="NotWantedAfter" tabindex="13" type="text" value="<#PARAM name="NotWantedAfter">" />
</div>
<div class="span2 unit left lastUnit">
&nbsp;
</div>
</div>
<hr />
<#INCLUDE filename="include_request_cited.html">
<#INCLUDE filename="include_request_buttons.html">
</form>
<#INCLUDE filename="include_footer.html">
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