Purchase Request Form

Purchase Request

Requestor Information

Name

Group

School or College

Department

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Campus or Local Address

Phone

Bibliographic Information

Author

Title

Publisher

Edition

Place of Publication (if known)

Price

Publication Date

Material Type

Format Preference

Requests are fulfilled with electronic versions of resources whenever possible.

Series Title and Volume(s)

Other Bibliographic Identifier

(ISBN, ISSN, OCLC/WorldCat Record #, etc.)

Additional Comments and/or URL

An email message will be sent when online access is available. If print material is ordered, a library staff member will contact you to arrange pickup.

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