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Book and video request Form

Book and Video Request Form

Complete the following request form. Provide as much information as you have available. Remember that your name and address are required.

Search WILDPAC, the University's online catalog, to determine that the material is not already in the Library or on order. Purchase recommendations will be evaluated in terms of the appropriateness to the instructional programs given the funds available.

Suggestions for new titles are welcome.


Personal Information

Name:

Mailing Address:

E-Mail Address:

Phone Number:

Fax Number:

Status:

Barcode (from D'Amour Library card):

Order Information

Today's Date:

Title of Item:

Author:

Publisher:

Copyright Date:

Edition:

Price:

ISBN:

Video Publisher Number:

Source:

Reason for Purchase:

Do you want this item on course reserve? Yes No

Course Number:

Semester:

Do you wish to be notified when this item is cataloged? Yes No

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D'Amour Library, Western New England University, 1215 Wilbraham Road, Springfield, MA 01119
Phone: (413) 782-1535
Fax: (413) 796-2011