Request for borrowing privileges
BPA LIBRARY
For use only by customers who do not have access to a library with interlibrary loans.

Please print out this page and send it by mail to:

Bonneville Power Administration
ATT: Library NHTL - 1
905 NE 11th Ave.
Portland, OR 97232

or fax to 503-230-5911, ATT: Circulation. Please feel free to call the library at 503-230-4171 if you have any questions. Please read the library circulation policy before filling out the form. You may e-mail the BPA Library at library@bpa.gov .

Borrower Name:
Organization:
Borrower's Street Address:
City: State: Zip:
Telephone Number (Work):
Telephone Number (Home):
E-mail Address:
Video requested:
NOTE: Press the Ctrl key
and click to make a multiple selection

Format:: VHS      DVD
Supervisor/Co-Signer:
Title/Organization:
Address:
Telephone (Work):
Borrowing privileges are good and kept on file for one year after completing the forms.

The nonreturn of U.S. government property will be reported as theft to BPA Security and Federal investigators in accordance with the BPA Personal Property Instructions and the Federal Property Regulations. I understand that I will be responsible for all materials checked out from the BPA Library. I will comply with the BPA Circulation Policy and promptly return the materials when they are due. Unresolved circulation problems will result in suspension of library privileges and could affect the privileges of my entire organization. I have been given a written copy of a BPA Library Circulation Policy. I understand that I must renew my borrowing privileges after one year.

Signature of Borrower:

I assume responsibility for the above patron's usage of the BPA library, and I or my organization will accept any charges due to a failure to return library materials.
Signature of Supervisor:
Date:
LIBRARY ONLY:
Approved:
Date:
Patron Code:
NHTL-1/2008