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Book Purchase Request

Use this form to suggest book titles for acquisition by the Library

Please fill-in the boxes below. The 'required' information will help us to
process your book purchase request more effectively. Thank you.


Library Card Number (required)	Name (required)
Address
Phone Number	E-mail Address (required)
Please tell us as much as you can about this book:
Book Title (required)
Author
Other Identifying Information


Would you like this book to be reserved for you if we order it? Yes No
Should we try to borrow this book for you from another library if we do not purchase it? Yes No

Select a pickup location

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This page is maintained by Robert J. Stack, Director, Portage County Public Library
bstack@uwsp.edu