Request access to a restricted local history item 1Introduction2Item information3Your details4Review You can use this form to: Request access to a restricted local history item Before you begin: It takes about 5 minutes to complete this form and you will need to: Tell us your name and email address Note the item's Title and Call number from the library catalogue. Read the City of Boroondara Privacy Statement After you complete this form we will: Send you an email about your request We may contact you about your request, if required. What happens to your information? We record your information on our customer database and make it available to relevant Council staff in line with our Privacy Policy Title of item * Required Call Number * RequiredYou can find this number in the library catalogue. BRN numberYou can find this number in the full display of the item. Which library holds the item you'd like to access? * Required Camberwell Hawthorn Kew Your reason for requesting this item * Required Primary school assignment Secondary school asssignment University/TAFE assignment Independent adult learner Business research Family history research Other Please provide your reason for requesting this item * RequiredDate you would like to access the item (if premission is granted) - must be dd/mm/yyyy format * RequiredDate to be confirmed Please note: we require 5 days' notice to process your request DD slash MM slash YYYY Approximate number of hours you would like to access the item * Required Name * Required First name Last name Email * Required Enter email Confirm email Phone number * RequiredPlease include your area code I am: * Required a member of the Boroondara Library Service not a member of the Boroondara Library Service Your borrower ID number I have read and accept Council's Privacy Policy and understand how my information will be used. * Required Yes Please review your information. If you notice errors please use the numbered page navigation or the 'previous' button to make changes. If all information is correct, please click the 'Submit' button to complete this form. {all_fields}