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Request a Video Purchase

If you would like the Library to order media that you think would be beneficial to the collection, please fill out this form and it will be considered by the appropriate departmental liaison. (You may also make requests for book or periodical purchases online.)

Please select your purchase request and fill in the appropriate information below.
(* denotes required field)

Bibliographic Information:

* Title:
Publisher:
Year of Publication:
Price:
Edition:
Material Format:
Order Type:
Series Title and Volume(s):
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Personal Information:

* First Name:
* Last Name:
* E-mail:
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* Phone:
* Department:
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