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Materials Request DRAFT

Providing as much information as possible will increase the likelihood of finding the material you desire.

Material Information

Author

Title

Edition

Year

Format

If other, please specify

List Price

Number of Copies

Publisher

ISBN (if available)

Date needed by

Requestee Information

Requested by *

Name or username

Email address *

Status *

Faculty

Staff

Student

For Faculty Only

Request approved by your division chair?

Yes

Notes

Other Notes