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Purchase Request Form

Please fill out this form to submit a request for an item to be added to the library collection. If you would like to be notified when the item is received, include your name and contact information. If you do not know a specific piece of information, please leave the field blank.

* = required field

Your name:*
Your address:
Your phone number:*
Email address:*
Faculty/staff or student:*
Title:
Author(s):
ISBN:
Publisher:
Copyright date:
Price:
Reserve Item:*
If requesting for reserve, please provide course and semester:
Any Special Comments? Including Edition or Series, Vols. and #copies:
Please Complete: