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2. Purchase Request Form
   We value and welcome purchase recommendations from the public. If there is an item you would like to suggest, please fill out and submit the form below. Please provide as much information as possible so that we can locate items. Library staff will consider each recommendation in accordance with the library's collection development policy.
4. Title*
5. Author
7. Item Type*
   -- Select One --BookAudiobookDVDMusic CDLarge Print Book
8. Publication Date
   Publication Date
9. ISBN
11. Your First Name*
12. Your Last Name*
14. Library Card Number*
15. Phone Number
17. Email Address*
19. Interlibrary Loan

    If the Library does not purchase this item, would you like it to be borrowed from another library for you?

    1. Yes
    2. No
21. Additional Comments
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field