Item Request Form

The following request form can be used to request an Interlibrary Loan, make a Purchase Suggestion, request Books by Mail or Place a Hold on an item in the library.

Required *

Date *

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Request Type *

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PATRON INFORMATION

Patron Name *

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E-mail Address

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Telephone Number *

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Library Card Number *

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Borrower Library

MATERIAL INFORMATION

Title

Author If Author is unknown please type Unknown

Date Published

Type of Material Select the type of Material you are requesting from the drop down list

Notes

FOR BOOKS BY MAIL ONLY:

If you would like staff to choose a title for you, please indicate the type of book from the drop down list:

Fiction

Non-Fiction

type in the verification code

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