Library Book Request Form
Please fill out this form to request materials from the library. We’re happy to find multiple copies of specific titles or various materials within a subject or theme. Complete the following form or contact the library at (608)-546-4201 to place your request. Please allow two weeks of lead time to allow for searching and delivery time.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Full Name
*
First Name
Last Name
Email Address
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date Needed By
*
Month, Day, Year
Preferred Contact Method
*
Email, Phone or Person
Preferred Format
*
Print
Audio-book
Play-a-way Audio-book
Large Print
Spanish
Other
Request by Title and Author
Request by Subject/Theme
What Type of Materials are Needed and How Many?
Rows
1-5
6-10
11-15
16-20
21+
Fiction Books
Non-Fiction Books
DVDs
Audio-books
Music CDs
Other
Additional Comments or information.
Please verify that you are human
*
Submit
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