Holdings Problem Report form

Are you submitting this holdings record to be fixed or to have your work checked over?
Fixed:	Checked:
Please enter your personal information first so that we can get back to you as soon as possible.
Your Name:
Your Email Address:

Please enter as much informationabout the item as you can for identification purposes.
LUIS Number
Aleph System Number:
Title:
ISSN Number:
Frequency:

Please enter enumeration of the pieces to be bound
Year:
Vol.
No. / Iss.
Binding complete?	YES NO
Additional Info

Please check the box that corresponds to the problem you are experiencing:
Conversion difficulty
Other (please list)