Annenberg Library - Book Order Form

This form is restricted for use to faculty and Collection Development advisors. Please note that the item you are requesting will be ordered depending upon adequate funds and availability of the material. If there is a problem honoring your request, you will be contacted by the Library Staff.

*Denotes required field

Requested by: (your name)

Department/Fund:

E-mail Address:

Phone Number:

If requesting an item to be placed on reserve please indicate course information:

Course:
Please choose one:	Fall	Spring

If requesting an item to be added to the general collection please indicate preferred circulating status:

Please choose one:
Reference (non-circulating)	Stacks (circulating)

Notification:

You will be notified by e-mail when the book arrives.
Do you want this title held for you at the Circulation Desk when available?

Yes

Item Title:

Item Author/Editor:

The following information would be appreciated, if available:

Requested by: (your name)

Department/Fund:

E-mail Address:

Phone Number:

If requesting an item to be placed on reserve please indicate course information:

If requesting an item to be added to the general collection please indicate preferred circulating status:

Notification:

Item Title:

Item Author/Editor:

ISBN:

Publisher:

Price:

Date Published or Edition:

Additional instructions or comments for this request: