Media Material Request Form

Use this form to suggest that the library purchase DVDs, video recordings or other media materials.

Please be aware that Lawrence's media collection is intended to support the curriculum and is not intended to be a replacement for your local video store.

Requester Information:
Name and Lawrence id number:

Email address:

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Item information:
(provide as much information as possible)

Author:
Title:
Publisher:
Year of publication:
Edition or series:
Format (choose one): DVD Other
If other, what?
ISBN:
Enter any additional order information here:

 

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