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Netflix Request Form
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Netflix Request Form
Use the form below to request a title from Netflix.
First Name:
(required)
Last Name:
(required)
E-mail:
Department:
Date needed:
(required)
Title:
(required)
Director:
Year:
Comments:
By submitting this form, I am aware that copyright law requires that the dvd only be used in the classroom or for other educational purposes.
contact:
Liz Butterfield
Circulation Services Manager
503-370-6018
Comments or Questions?
webmaster@willamette.edu
© 2006 Willamette University
Last updated: 07/03/2008 10:03 AM
