Book Request Form

This form may be used to identify a book for possible acquisition. The information you enter in will be forwarded to the appropriate person and will be considered for acquisition. Please fill in the patron information section. In order for us to act on your request, we need to know who you are so that we can follow up with you.

Author:

Title:
             

Publisher:                   

Place of Publication:

Date of Publication:  

Subject of Book:
                                    

Source of information about the book:

Please indicate your information

Name:

 

Status: Businessman Researcher Student Staff

 

Address:

 

Your Phone number:

 

E-Mail: