Agency Article Request

Please fill in as completely as possible, and only one request per form. If you have questions, please call the ILL Office at 207-287-5641 or 1-800-322-8899.

Required **

Contact Information:

Name:**
Mailing Address ** (State House Station) preferred
City/Town: **	State:** Zip:**
Daytime Phone:**
Fax Number:
Email:**

Photocopy Information:

Journal/Periodical Title: **
Journal/Periodical Information:	Vol #: Issue #: Date: ** Pages:
Author of Article:
Title of Article: **
Information Source:
Comments:

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A copy of your request will be sent to the email address provided.