Course Reserves Form

Instructor Name: Instructor Name: First Last
MSU Email Address:
Department:
Semester:
Course Number:
Course Name:
Reserve item 1:

Please provide enough information so that the specific item can be found including title, call number, etc
Loan Period:
Reserve item 2:

Please provide enough information so that the specific item can be found including title, call number, etc
Loan Period:
Copyright Agreement:

Copyright Agreement: I understand and agree that I am assuming responsibility for compliance with all relevant copyright laws in regard to the photocopied materials on reserve for this course.
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4, 5, 6, 7 : the 3rd number is?