Purchase Request Form

Please fill in as much of the following information as you can. 
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Format: book periodical audiocassette videotape DVD other (explain below)

Author / editor / director:

Title:

Edition:

Publisher:

Place of publication:

Date of publication:

Series title:

Price:

ISBN/ISSN:

Your Name:   Status: Student Faculty Staff Administration

Library Barcode Number:    Phone number:

E-mail address:

Is there a date after which you cannot use this item? No Yes-date:

Check requested action:
Please hold item for me when it becomes available.
RUSH this order.
Additional information or comments:

We will notify you when the order has been placed, or if your purchase request is denied. The Library Director has the final responsibility for all acquisitions.

If you have requested RUSH processing, please note:
It takes an average of 4-6 weeks to receive and process an item from a North American source, and at least twice as long from most other sources.