Book Purchase Request Form

Faculty are encouraged to use this form to request the purchase of print and electronic books.

Contact Information
Name Name * First Last
Email *
Phone Phone * - ### - ### ####
Department *
Requested Item Information
Author *
Title (include series title if applicable) *
Preferred format (if available) *
Publisher *
Publication Date *
Publisher Location
ISBN
Price
Course Reserve Information

Please fill out this section only if the item is to be put on Course Reserves at the Perry Library Help Desk.
Course Title
Course Number
Length of Reserve
Deadline Item Needed Deadline Item Needed / MM / DD YYYY
Special Instructions
Please add any special instructions or other requirements here.
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