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Barrington Public Library Request for Purchase Form

Use this form to suggest materials for the library to purchase. Paper copies of this form are also available at the library. Please only use this form to request items for purchase, if you would like to place a reserve on an item the Library already owns, please contact the Reference Department at 247-1920 or visit our Library Catalog.

Today's Date -- mm/dd/yy

Author:

Title:

Publisher/Producer:

Year of Publication:

Please choose a format:

If this title is selected for purchase, would you like to be notified or have it placed on reserve in your name?

Yes
No

Please provide the following contact information. This information will only be used to reserve the item for you or contact if more information is needed to purchase the item:


Name
Library Card Number
Home Phone
email Address (optional)

Thank you for your recommendation!