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NOTE:Fields with bold labels are required. Please type or print legibly.

Purchase Request Form

Priority Information

Priority:
(Click to see description)
Level 1 Patron Request
Rush
SuperRush (Leisure Reading Collection Only)
Reserve
Level 2 Reference
Leisure Reading
Other
Level 3
Date Sensitive Order:

   Order By Date: (mm/dd/yyyy)

Holding Code/Location:

Bibliographer Information

Bibliographer:
Fund # :
Low Use: Do not duplicate IA catalog.
Please check here if you wish to be notified when item is received:
If checked, Library User ID
Additional Comments:

  Requestor Information

NOTE: This section should only be filled out if the requestor's name is to be added to the Acorn record.
Select one of the two options, below, to continue:

Check here if requestor is to be notified when item is available:
Check here if requestor is not to be notified when item is available:
Requested by:
Department:
Telephone Number:
E-Mail Address:

Bibliographic Information

Author:
(Last Name First)
Title:
Place of Publication:
Publisher:
Volume/Edition:
Price:
Quantity:
Series Title and Volume(s):
Standing order to begin with:
ISN (International Standard #):

Source of Information (Or Vendor's Name):

Catalog # :
Item # :
Comments:

Order Services Use Only

ACORN # :
Vendor:
Verifier:
Date:
(mm/dd/yyyy)
Series Status:


Please check here if you wish to receive a copy of this request:
If checked, email address

 

Assistant University Librarian: Roberta Winjum

Comments to: Mary Ellen Wilson

Vanderbilt | Heard Library | Technical Services