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Learning Resources Center

Collection/Database Management Department

ORDER REQUEST FORM

Please use this form to suggest titles that your library does not own

Author:
Title:
Publisher:
Date of pub. :
ISBN/ISSN:
Price:
Edition/Series:
Volumes (in Set):
Number of Copies:
Reviewed in...:

Requested by:

 
Name: Last First  MI
E-mail Address:
Address or
Campus MSC#.
Phone Number:
Fax Number:
Date Requested: (Date Format: MM/DD/YYYY, MM = Month, DD = Day of Month and YYYY = Year; example: 09/29/2008 for September 29, 2008)
Dept. Recommended:
Notify:
Fund Charged:

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