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Materials Request form

Please include as much information as possible.  Submit a new form for each title requested.

Person Requesting Purchase:

Department:

*Email Address:

Department Chair/Coordinator:

Arrival preference: (check one)

Notify me on arrival and place on hold shelf for me to pick up
Notify me on arrival and place in library collection
Deliver item to my office on arrival

Material Format: (check one)

Book
Video/DVD
Score
CD
Journal
Other 

Title:

Author:

Year:

Edition:

ISBN:

Publisher/
Producer

List Price

Priority Level

Normal - Library should acquire
Urgent - Needed for a current class or project

Additional Information
(source, etc.)

Thank You! 

NOTE: After submitting your request, use your browser's Back button and the 'Clear the form' button above to create additional requests.

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Northern State University
Email: nsulibrary@northern.edu