Book Request Form

For a book order to be considered, all entries about the requestor (you) must be filled. Please provide all the information you can about the item to be ordered; incomplete information may make it difficult or impossible for the staff to order the book. 
Requestor Information:

            Name: 
      Department:  
           E-mail: 
   Daytime Phone: 

You are: 

 Faculty   
 Staff   
 Student   


This request is for:
  library 
  personal
  department use

Item Information:

           Title:  
          Author: 
            ISBN: 
Publication Date: 
         Edition: 
       Publisher:  
            Cost:




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File maintained by mary.kitchens@gcsu.edu and last modified Wednesday, July 25, 2007.