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JIS Information Request Form

Instructions: Please take a moment to fill out the JIS Information Request Form and when finished, press the Submit button at the end of the page, and your request will be automatically mailed to our Information Specialist.

Note: You may also email your request to us: uls-jic@mail.pitt.edu

Date by Which Reply is Needed:

Note: Please bear in mind that we need time to process and research your request. We make every attempt to provide you with the information as soon as possible. Please note our staff is not available over the weekend, winter recess, and other national holidays.

Requester's Name:

Affiliation:

Address:

(Please be sure to double check that you have correctly input your address)

Tel. No.:

Fax. No.:

Email:
(Please be sure to double check that you have input your email address accurately)

For our statistical purposes, please tell us about your occupation.

    Pitt Student
    Pitt Faculty
    Government
    Business
    Non-Profit Organization
    Media
    Non-Pitt Student
    Non-Pitt Faculty
    Others

    Others (please specify):

Languages of Materials :

    Japanese
    English
    Both
    Other
    Others(please specify) :
Questions (Please be as specific as possible) :
What sources have you searched so far?
If you are ready to submit your request, press SUBMIT below. If you wish to start over, press RESET. If you are finished or change your mind, leave this form (via Back or leftarrow) without pressing SUBMIT.