WKU Libraries Materials Purchase Request Form

This is not a form to be submitted online. Please fill in the form, print it, and submit it to your departmental representative!

Date: / /

Title:

Author:

Location:		Publisher:

Edition:

Date: mm/dd/yyyy		Price:

Do you prefer a hardback or paperback edition?

Requested by:	Department: If you choose "Other", please specify:

Library Representative:		Librarian:

Is this to be considered a Rush order? Yes No

fill in the form, print it, and submit it to your departmental representative!

For Acquisitions Unit use only:

Vendor:	Fund:	Order #:

OCLC:	ISBN:	LCC#:

Please remember to submit this form to your departmental library representative!

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