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