Library Purchase Request

 

If you'd like the library to purchase a book, reference resource, newspaper, journal, DVD, etc. fill out the
form below with the title, author, publication information, and why you think we should purchase it.
We'll contact you via e-mail or phone if we purchase it.

 

  Name  (last, first middle)
 Department / Major
 		   
  Campus address
 		Campus e-mail
 		   
  Campus phone
Fax / Other phone
 		   
Status      
Freshman Sophomore Faculty Staff Other
Material type
 
Book Reference resource Journal / Newspaper CD-ROM
Online database Thesis / Dissertation Video / DVD Audio / CD
Microfilm / fiche Other  (please specify)   		 

Title

Author / Editor / Artist  (last, first)

    
Edition
   ISBN number
   

Publisher

Date of publication

Cited in

 

If a Journal / Newspaper also include...

Journal / Newspaper title

Volume number
 ISSN number
 

Cited in

 

Priority   (faculty only)
Rush    Course reserve    Course-related   Professional research   
Other (please specify)   

I need the item before   (specify date)
       Anytime is fine

I think that the library should purchase this item because...

Special instructions   (eg. rush order, course reserve)

If we purchase the item, would you like us to notify you?   Yes     No
           
   
 
   

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