Document Delivery Service Business Not for Profit

OMB Number 0518-0027

Expiration Date xx-xx-xxxx

Document Delivery Request

Your Patron ID and login information will be sent to the email address you have provided.

Registration is processed Monday to Friday (except federal holidays), from 8:30 am to 4:00 pm EST.

If you have questions regarding registration, contact the National Agricultural Library Digitization and Access Branch: 301-504-5717, [email protected](link sends e-mail).

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Patron Information

First Name *

Last Name *

Affiliation *

Please select your affiliation.

Email Address *

Primary Phone *

Secondary Phone

Office Address *

City *

State/Province *

Country (if not USA)

Postal Code *

Are you currently waiting to submit requests in the NAL Reading Room?

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According to the Paperwork Reduction Act of 1985, an agency cannot conduct or sponsor, and a person is not required to collection of information unless it displays a valid OMB control number. The valid OMB control number for the collection is 0518-0027. The estimated time to complete the forms is 1 minute. This includes time for reviewing instructions and filling in the information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the following address: U.S. Department of Agriculture, Agricultural Research Service, Research, Education, Economics, Administrative Financial Management, Information Technology Services Division, 5601 Sunnyside Ave., Beltsville, MD 20705.