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OtherRequest.html
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<html>
<head>
<title>ILLiad - Other Request</title>
<#INCLUDE filename="include_head.html">
</head>
<body id="type-b">
<div id="wrap">
<#INCLUDE filename="include_header_request.html">
<div id="content-wrap">
<#INCLUDE filename="include_menu.html">
<div id="content">
<form action="illiad.dll" method="post" name="OtherRequest" class="f-wrap-request">
<input type="hidden" name="ILLiadForm" value="OtherRequest">
<input type="hidden" name="RequestType" value="Loan">
<input type="hidden" name="Username" value="<#PARAM name="Username">">
<input type="hidden" name="SessionID" value="<#PARAM name="SessionID">">
<div class="req"><b>*</b> Indicates required field</div>
<fieldset>
<h3>Other Request</h3>
<#STATUS>
<h2>Describe the item you want</h2>
<label for="Other">
<span class="field">
<span class="req">*</span>
<span class="<#ERROR name="ERROROther">"><b>Citation</b></span><br />
<span class="note">Please paste any citation information you have here.</span>
</span>
<textarea id="Other" name="Other" rows="10" cols="60" class="f-name"><#PARAM name="Other"></textarea><br />
</label>
<label for="NotWantedAfter">
<span class="field">
<span class="req">*</span>
<span class="<#ERROR name="ERRORNotWantedAfter">"><b>Not Wanted After Date</b></span><br />
<span class="note">(MM/DD/YYYY)</span>
</span>
<input id="NotWantedAfter" name="NotWantedAfter" type="text" size="40" class="f-name" value="<#PARAM name="NotWantedAfter">"><br />
</label>
<label for="AcceptNonEnglish">
<span class="field">
<span class="<#ERROR name="ERRORAcceptNonEnglish">"><b>Will you accept the item in a language other than English?</b></span><br />
<span class="note">If yes, specify acceptable languages in the notes field.</span>
</span>
<select id="AcceptNonEnglish" name="AcceptNonEnglish" size="1" class="f-name">
<option selected><#PARAM name="AcceptNonEnglish"></option>
<option>No</option>
<option>Yes</option>
</select><br />
</label>
<label for="AccountNo">
<span class="field">
<span class="<#ERROR name="ERRORAccountNo">"><b>Account Number</b></span>
</span>
<select id="AccountNo" name="AccountNo" size="1" class="f-name">
<#OPTION name="ValidAccounts">
</select><br />
</label>
<label for="Notes">
<span class="field">
<span class="<#ERROR name="ERRORNotes">"><b>Notes</b></span><br />
<span class="note">Put any information here that may help us find the item, as well as any other pertinent information.</span>
</span>
<textarea id="Notes" name="Notes" rows="2" cols="40" class="f-name"><#PARAM name="Notes"></textarea><br />
</label>
<#INCLUDE filename="include_request_cited.html">
<#INCLUDE filename="include_request_buttons.html">
</fieldset>
</form>
<#INCLUDE filename="include_footer.html">
</div>
</div>
</div>
</body>
</html>