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SU Libraries Collection Box Request Form
Please complete this form to request the placement of collection box(es) in the Guerrieri Academic Commons. You will be contacted by library staff as soon as possible after your request is submitted.
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Date
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MM
/
DD
/
YYYY
Name of sponsoring organization/office
*
Your answer
Contact person (name)
*
Your answer
Contact person (email)
*
Your answer
Contact person (telephone)
*
Your answer
Item(s) to be collected
*
Your answer
Beneficiaries of item(s) collected (to whom will items be donated?)
*
Your answer
Number of boxes
*
Your answer
Approximate size of box(es)
*
Your answer
Requested dates (maximum 4 weeks)
*
Your answer
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