Suggestion for Purchase

Please fill in as much information as you can in the spaces below. Spaces marked with an * are required. If you need help with the form, ask at the Help Desk or call 349-3228.

1. Patron
* Last Name * First

* Library Card # 2 1477 00

2. * Title
Not requesting a specific title? Type "see below" in the Title box and fill out the "Other Information" box below.

Author

Subject/Genre

ISBN

Edition
3. * Format (select one)
Book
VHS
DVD
Book on CD
Audiocassette
Described VHS
Music CD
CD-ROM
Large Print
Magazine
(magazines selected once a year in July)
4. * This request is for (select one)
Adult Collection
Adult Audiovisual Collection
Children's Collection
Ellettsville Collection
Español - Adult
Español - Children
5. Other information...