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RODP / Distance Learning

TBR/UT Borrower Application Form for the TALC Card
(TN Academic Library Collaborative)

It may take 5-10 days to process this request. You will receive your card by mail.

( indicates required fields)

  1. Name of Borrower:
    First:
    Last:

  2. TTU Address & Phone:
    Street:
    City: State: Zip:
    TTU Phone Number:

  3. Home Address:
    Street:
    City: State: Zip:
    Home Phone Number:

  4. Mail Card to:
    (choose one)

  5. E-Mail Address:

  6. You are:
    (choose one)

  7. Expected date of Graduation:
  8. Additional Helpful Information:

    Read the Guidelines & Responsibilities!

    Do you agree to the guidelines & responsibilities? Yes

    Have you reviewed your request? Yes