Library Material Request

Library Materials(s) Request
Elms College Affiliation

Full-Time FacultyPart-Time FacultyOther
Date of Request

MonthDayYear
Full Name*

First NameLast Name
Library Account Number
Campus Email*

Confirmation Email
Primary Phone Number
Secondary Phone Number
Department Name
Bibliographic Information
Format*
Title*
Author/Editor/Director
Publisher*
Place of Publication*
Year of Publication*
ISBN/ISSN*
Edition (if available)
Series (if applicable)
Volume Number (starting)
Subject
Order Information
List Price (U.S. dollars)*
Are you ordering from a catalog?

YesNo
If you answered yes to the above question, please attach an electronic version of the catalog below. If you do not have an electronic copy please send the print catalog to either Anthony Fonseca or Lynn Gamble.
Attach electronic version of Catalog

Upload a File

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Order Priority

HighMediumLow
Rush Order?

YesNo
Date needed by

MonthDayYear
Holdings Location
Hold this item for you?

YesNo
Put in Reference?

YesNo
Put on Reserve?

YesNo
Course Name
Course Number
Semester
Additional comments
Should be Empty:

Order Information