Library Purchase Request Form

Please complete as much of the form as possible. The sections with an (*) are required. A more complete form will help to decrease the time needed to acquire the item. Please print all requested information. The Library does not purchase textbooks.
Requester Name:
Requester Email Address:
1. Status *
Faculty
Staff
Student
2. Author/Director *
3. Title: *
4. Publisher/Production Company
5. Publication/Production Date
6. Would you like to be notified when this item is cataloged?
Yes
No