Library Purchase Request

If you'd like the library to purchase a book, reference resource, newspaper, journal, DVD, etc. fill out the
form below with the title, author, publication information, and why you think we should purchase it.
We'll contact you via e-mail or phone if we purchase it.

Name  (last, first middle)
Department / Major
Campus address
Campus e-mail
Campus phone
Fax / Other phone
Freshman Sophomore Faculty Staff Other
Material type
Book Reference resource Journal / Newspaper CD-ROM
Online database Thesis / Dissertation Video / DVD Audio / CD
Microfilm / fiche Other  (please specify)  


Author / Editor / Artist  (last, first)

  ISBN number


Date of publication

Cited in


If a Journal / Newspaper also include...

Journal / Newspaper title

Volume number
ISSN number

Cited in


Priority   (faculty only)
Rush    Course reserve    Course-related   Professional research   
(please specify)   

I need the item before   (specify date)
       Anytime is fine

I think that the library should purchase this item because...

Special instructions   (eg. rush order, course reserve)

If we purchase the item, would you like us to notify you?   Yes     No