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2. Please let us know what material the Library should consider purchasing. We welcome your purchase suggestions and will evaluate them in accordance with the Library's Collection Development and Access Policy.
4. Title:*
6. Author (if applicable):
8. Edition (if applicable)
10. Format:*

    1. Children's Book
    2. Children's Book on Disc
    3. Young Adult Book
    4. Young Adult Book on Disc
    5. Adult Book
    6. Adult Book on Disc

    1. Large Print Book
    2. DVD
    3. Blu-ray
    4. eBook
    5. eAudiobook
12. If the Library purchases this item, would you like us to place the item on hold for you? *

    1. Yes
    2. No
14. First Name
15. Last Name
17. Your library card number:*
19. I prefer to be contacted by:*

    1. Phone
    2. Email
21. Your phone number:
23. Your email address:
25. How did you hear about this material?
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field