Materials Purchase Request - San Juan Island Library

Materials Request Form

This form is used to request items to be purchased for the Library's collection. The librarians will use reviews and other standard evaluation criteria to determine whether or not to purchase the item.

Please include as much information as you can.

First Name:

Last Name:

Phone:

Email:

	If purchased, would you like the item placed on hold for you?
	If not purchased, would you like to borrow the item through Interlibrary loan?

Title:

Author:

Publisher:

Date:

ISBN:

Media Type:
Book Large Print Book Book on CD Book on Tape	VHS DVD Article

Important: where did you hear or read about this item?

Please enter the characters you see in the image.

Then click the Send button.