Watson Library Purchase Request

Date____________________________
 

Format (Circle One)      Book      Periodical    Video    CD    Other_____________
 

"Author"________________________________________________
 

Title____________________________________________________
 

Place of Publication_______________________________________
 

Publisher_______________________________________________
 

Date (Edition)___________________________________________
 

ISBN/ISSN/Other_______________________________________
 

Source of Citation_______________________________________

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Briefly describe appropriateness for Watson Library__________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Name________________________________________________

Status (Circle One)      Faculty      Staff      Student      Community Borrower

Academic Department__________________________________

Would you like to be notified if/when this item becomes available? If yes:

Pyle Box, Phone, or E-Mail______________________________