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2. Let us know if there is a title or subject you cannot find in the library catalog.

4. Title & Author
5. Title & Author
7. Title & Author
8. Title & Author
10. Type of Material

    1. Book
    2. Large Print Book
    3. Digital Book (Axis360 app)
    4. Digital Audio (Axis360 app)
    5. DVD
12. Your Name
14. Library Card Number
16. If this item is unavailable, should we request it through Interlibrary Loan for you?

    1. Yes. I have a VIP or established library card.
    2. No. I have a Starter library card or am not interested in Interlibrary Loan.
18. Comments

20. Include your email address to be notified if we do not purchase it.
22. Email
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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