Purchase Request Form

Full Name (Last, First)*

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Item Information

Material Type*
BookMagazine / NewspaperDVDBlu-RayCDE-bookOther

Age Level*
KidsTeensAdults

Title*

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I think the library should purchase this item because:*

If we purchase this item, would you like us to hold it for you?*
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Please provide library card number

If held, at which library?
Cedar Mill @ CornellBethany Branch