Purchase Request Form | Murphy Library | University of Wisconsin-La Crosse

Request Library Materials

Although the library cannot purchase every item requested, all requests will be considered.

Think the library might already own the item your requesting? Search the library catalog.

Please fill in as much information as you can about the item you would like the library to purchase. You may leave blanks.

Title: Author:

Publisher: Publication Date: Edition:

ISBN/ISSN: List Price:

This is a: (if other please specify:)

Preferred format:

You are a: (if other please specify:)

Your Name: If faculty, your Department:

Is your request:

general (library should purchase, but out of general funds)

departmental (library should purchase using my department's allocated fund)

video/DVD(library should purchase from the library's AV fund)

If faculty, please assign a priority number to this recommendation:

	I want to check out the item when it arrives. Notify me at:
	Item is needed for reserves. Please enter the semester: and the year: and the course:
	I will not need the item after this date:
	Please rush. I realize that the library cannot guarantee this item will be received by a certain date.

Other comments you would like to make: