JV Fletcher Library - Materials Purchase Request

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Materials Purchase Request


	Patron Request for Purchase J.V. Fletcher Library Today’s Date: _______ *Please complete as much information as possible.* Title: _______________________________________ Author (if applicable):_________________________________ Publisher: ____________________ ISBN:___________________ Format-- Underline One Book CD Books on Tape/CD Video DVD OPTIONAL: If the Library selects to purchase this item, would you like to place it on hold? ___________ Name: __________________________ Library Barcode: _______________ Phone Number: __________________ E-Mail Address: _________________ Staff Only: Route to selector for following collection , "X" next to one Adult: ____ Juvenile: ______Reference: ______ Fine Arts: _______ Bookmobile: ______

J.V. Fletcher Library | 50 Main Street | Westford, MA 01886-2599
978-692-5555 | www.westfordlibrary.org