Audio/Visual Request Form
Audio/Visual Request Form
Updated: 11/10/2003
Name __________________________________________________________
E-Mail Address ___________________________________________
Telephone Number _____________________________
Organization _____________________________________________
Ground Shipping Address ___________________________________
(FedEx or UPS - No POB Accepted)
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Street Address (if different from mailing address - for UPS and FedEx)
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Use a separate sheet for each month's request
Catalog Number | Title | Date Desired | Alternate Date |
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Mail to:
ORA Lending LIbrary
Division of Human Resource Development
Food and Drug Administration
5600 Fishers Lane, HFC-60
Fax to:
Lending Library
Katelyn Poss 301-827-9294
I have read the policies and procedures for borrowing training materials from the DHRD Library. I agree to all the terms and conditions therein.
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