Materials Request Forms

Audio-Visual Materials Request

Use this form to request the purchase of materials within the LRC.

Your request will be forwarded to the LRC and your appropriate division liason for evaluation and possible approval. Submission of this form does not guarantee purchase.

This form is available to faculty and staff only. All others must request items from the Reference Desk at x2108.

Your Information:
	First Name:
	Last Name:
	email:
	phone:	ext.
	division:
	Preferred method of contact: email phone

Materials Information:

Title:

Format:

Vendor:

Price:

Please provide justification for your request: