Patron Request Form
Title of item
Your answer
Author
Your answer
Publication Date - please note that items with a release date more than six months in the future cannot be requested.
Your answer
ISBN
Your answer
Item type
Patron Name
Your answer
Library Card Number
Your answer
Contact Information - email address or phone number
Your answer
Place a hold if item is ordered?
Submit
Never submit passwords through Google Forms.
This form was created inside of East Travis Gateway Library District. Report Abuse - Terms of Service