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SERIALS REQUEST FORM 3.31.00
Western Kentucky University Libraries

  Date________________
TITLE:_________________________________________________________________
PUBLISHER/ADDRESS:____________________________________________________________________________________
Frequency:______________________ Cost:________________

Liaison Librarian should check ALL relevant WKU-held indexes/abstracts as well as full-text availability:

Full-text Access?__________Indexed/Abstracted:___________________________________________________
Liaison Librarian: Sample issue requested_________________received_______________not available_________________
SERIAL REQUESTED FOR:
________Current subscription/standing order starting with:___________________________________________
  Microform acceptable:____Yes ____No  
________Backfile for (years/vols.):________________________________ Librarian initial for backfile ONLY___________

Microform acceptable:____Yes____No  
Justification: Support for course numbers:___________________________________________________________
Other support (attach documentation such as favorable review, ILL frequency, citation rates, etc.)
____________________________________________________________________________________________
Requested by:____________________________________ Dept. AND Fund Code:___________________________
Library Representative Signature:_________________________________________________
Librarian Signature:____________________________________________________________

Recommendation of Serials Review Committee
Initial action: Date: Final Action:

Date:

Support__________________________ Support________________________
Not support______________________ Not Support_____________________
Defer___________________________

(To be completed by the Serials Unit) Date:______________________
System Number______________ Ordered________ Letter_______  
P.O. number___________________ Fund__________ Cost____________  
Vendor and Title Number:_________________________________________ Start with:__________________
Backfile Requested: Vendor___________________ Fund__________ Cost__________ Vols./yrs____________
Library Location____________________ Retention____________________ Line item Notes defaults____________________
Call no.(if added vol.)___________________________________ OCLC#___________________
 
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