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Example of Form Validation using Javascript
Note: Use "View Source" to view & copy the Javascript Code.
I am requesting this book or periodical because :
Yale doesn't own the item
Item is lost/missing
1. Book or Periodical Information
(Hint: If you can cut and paste, that will help to avoid typographical errors.)
Author(s) / Editor(s):
( required )
Title :
( required )
ISBN/ISSN :
Edition :
Place :
Publisher :
Year :
Price :
Series (if applicable) :
Not needed after :
Source of information :
Please give any additional specific information about your request :
2. Patron Information
Name :
(required)
E-mail Address :
Mailing Address :
Telephone :
Department :
Status :
(Indicate your Yale Status)
Faculty
Graduate
Undergraduate
Staff
Other
(required)
Last 4 Digits of Yale ID (Soc. Sec. # or Library ID #) :
© 2008 Yale University Library
This file last modified 12/16/05
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