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Materials Purchase Request
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Full Name
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Status
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Faculty/Staff
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Department/Major
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Daytime Phone
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Would you like to have the item placed on Hold for you when/if it arrives?
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Email
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Title
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Author/Editor/Director
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Publisher
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Year of Publication
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ISBN or ISSN
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Format
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Purpose/Justification/Comments
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Please specify if this material is for Course Reserve
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