Library Materials Request Form

Please complete as much of this form as you can to request that the library purchase suggested books, DVDs, videos, periodicals or other possible materials. We will notify you when your order has arrived or if we're unable to obtain it.

A search of the Peninsula Library Catalog at http://catalog.plsinfo.org will indicate if we already own the item and, perhaps, provide more details about the material if it is held by other PLS libraries.

Bibliographic Information
Author/Editor (required):
Title of Book/Material (required):
	Exact Title Unsure of Exact Title
Publisher/Producer:
Date Published/Produced:
ISBN/ISSN/LCCN/other #:
Volume(s)/Series:
Price:
Format (choose one):	Book DVD Video Periodical Other
Subject Area Supported:
Requestor Information
Full Name: (required)
Phone:	- ext:
Email (required):
Status (choose one):	Faculty/Admin. Department: Bldg/Rm: Staff Department: Bldg/Rm: Student Other
Today's Date:	(mm/dd/yy)
Optional Information (relevant ordering website/catalog where reviewed, date needed, etc.)
Place this item in:	Circulating Collection Reserve Reference

Library Materials Request Form

Bibliographic Information

Requestor Information