Book/Resource Purchase Request
All items requested for purchase remains the property of Dickerson-Johnson Library. If purchased by the library, the resources may be loaned to the requestor.
Requested Item is a:
Please Select
Book
CD
DVD
Other
Name of Item:
Description (year of publication, ISBN, edition, etc.)
Name
*
First Name
Last Name
ID Number
*
Email Address
*
example@example.com
Department
Campus Phone
*
Please enter a valid phone number.
Fax/ Other Phone
Please enter a valid phone number.
Submit
Should be Empty: