New Title Request

Use this form ONLY if you are recommending that the library purchase a title for its collection.

Department:
Last Name:
First Name:
Patron Class:
e-Mail:
________________________________________
Title:
Volumes:
Editions:
Year:
ISBN/ISSN/ID#:
Price:
________________________________________
Alternate Edition/Title Acceptable?
	Yes No
Please rush this request
	Yes No

Please place on Reserve
	Yes No
# Students?
Course Code:
Course Name:
_______________________________
Supports new or substantially revised

Code
Name
Additional Information: