Please use the following form to submit your query, request, comment, or information. Note - the symbol indicates a required field.

Official use only (please ignore)

REFERENCE BOOK REQUEST

Use this form to request reference books which are NOT held by the State Library of Tasmania. If you require photocopies, scans or digital copies, click here to select the appropriate form.

Conditions

		Payment I agree to pay the costs at the time of delivery according to the List of fees and charges.		[Select option] Yes
		Copyright compliance I agree to use the item within the provisions of the Commonwealth's Copyright Act 1968		[Select option] Yes
		Date needed by I understand that the State Library of Tasmania cannot guarantee exact delivery times as all orders will depend upon the responses of other organisations and suppliers. We will contact you if we cannot supply by the date you indicate here.		Open the calendar popup. << < May 2012 > >>   M T W T F S S 19 30 1 2 3 4 5 6 20 7 8 9 10 11 12 13 21 14 15 16 17 18 19 20 22 21 22 23 24 25 26 27 23 28 29 30 31 1 2 3 24 4 5 6 7 8 9 10 09:00 AM 10:00 AM 11:00 AM 12:00 PM 01:00 PM 02:00 PM 03:00 PM 04:00 PM 05:00 PM

Delivery to LINC Library

Please send book to the following LINC library I understand that I may use the book only during business hours in the LINC library.

Contact Details

		How would you like us to contact you?		[Select option] None Email Phone Call at desk/LINC library Mail
		Your name
		Postal Address
		Suburb
		Post code
		Phone number
		Email
		Fax #
		Organisation (if any)

Item Detail

		Title
		Author
		Publisher
		Date of publication/edition
		Place of publication
		ISBN
		Call #

Additional information

		Source of information
		More Information Is there anything else we need to know about your request?

Personal information Protection

				Personal information will be collected from you for the purpose of recording your request for information and may be used to communicate with you about this service and for statistical and reporting purposes.
				The State Library may be unable to provide this service to you if you do not supply this information.
				Your personal information will be used for the primary purpose for which it is collected and will be managed in accordance with the Personal Information Protection Act 2004. It may be accessed by you on request to the State Library of Tasmania. You may be charged a fee for this service.
				You can obtain a copy of the department's Personal Information Protection Policy at www.tas.gov.au/stds/pip.htm

Enter the code from the image