Library Materials Purchase Request Form

Please submit a separate form for each item you request.

Send questions or comments to Dianne Taylor or (252) 985-5232.

If this is a rush order, or if you would like to be notified upon receipt, please indicate in the notes field. Ordered materials take approximately 3-4 weeks to arrive and another 3-4 weeks for cataloging, depending on existing backlog.

(Please complete all fields - DO NOT ABBREVIATE)

Ordered By:
Department:	(e.g. English, Biology)
Date of Request:
Copy Location?	(If you wish to order copies for multiple locations, please use the Additional Notes box to explain)
Item Type:
Title:
Author/Director:
Publisher and Place:
Edition or Series:
Volumes:
Date of Publication:
ISBN:
Additional Notes