Materials Request Forms

Book 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:	Please Choose Division I Division 2 Division 3 Division 4 Division 5 Division 6 Staff
	Preferred method of contact: email phone

Materials Information:
	Title:
	Author's Last Name:
	Author's First Name:
	Edition:
	Publisher:
	Year:
	Price:
	Available in paperback : yes no
	Please provide justification for your request: