Request Form for Library Material

Use this form to request books or non-print items( videotapes, DVDs, CDs, etc..) that LRD should acquire. Your submissions will be routed to the appropriate collection development librarian.

Patron Information:	* denotes reqired fields - please note: failure to fill in required fields, your request will not be processed
*Name:
Department:
*E-Mail Address:
Telephone #:
Status:	Faculty Graduate Undergraduate Staff
Request Information
Item Requested is a:	Book Dissertation Compact Disc DVD Videotape Audio Cassette Microfilm Microfiche
*Title:
*Author / Editor:
Publisher / Distributor:
Date:
Edition:
Series / Volume(s):
ISBN #:
Comments:
Do you want to be notified when the item is received: Yes No