Materials Request
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Once available, I will pick up the material at:  (choose only one location) *
Requestor name *
Library Card Number *
Phone number *
E-mail
Where did you hear about this item?                                                                   Please provide a link, if possible.  
Title of item: *
Author/Artist/Performer: *
Type of material: *
If Other, please enter type:
Publishing Date:
Edition preferred:
If you need this item by a specific date, please specify?
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