Materials Request Form

First Name

Last Name

Library Card Number

Phone Number

Email Address

Pick Up Location

If the library does not purchase this item, may we borrow it from another library for you?

Yes, please forward my request to ILL.

No, do not forward my request to ILL.

Interlibrary Loan is not available for eBooks. Please read the FAQs on the Interlibrary Loan page as there may be additional fees.

This Material is:

Book

eBook

Large Print

Book on CD

eAudiobook

DVD

Magazine

Newspaper

Video Game

Some items are not compatible with Kindle devices. If the library acquires this item, do you require Kindle compatibility?

Yes

No

Some items are only released on Blu-Ray. If the library must purchase Blu-Ray instead of DVD, can you use Blu-Ray?

Yes

No

Select a console.

Nintendo Switch

PS4

PS5

Xbox One

Xbox Series X

New Console - Please List in Comments Below

Title of Material

Author (if material is a movie, please list an actor)

Year Published (if known)

Comments