RESERVE ROOM RELEASE FORM
F.D. Bluford Library
Greensboro, NC 27411-1075
Telephone: 336.334.7617

Date: __________________________

I am requesting the removal of the following materials from reserve room holdings:

TITLES                                                                                                     BARCODE #'S

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                        [   ]    RE-ACTIVATE MATERIALS

                        [   ]    DELETE ONLY MATERIALS LISTED

                        [   ]    SEND A PRINT-OUT OF REMAINING MATERIALS

                        [   ]    DO NOT SEND A PRINT-OUT OF REMAINING MATERIALS

                        [  ]    DELETE ALL MATERIALS

    Signature: 
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