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Paul G. Blazer Library Kentucky State University Collection Management Services

RESET

SUBMIT

Request to Order an Item Form (Acquisitions Unit)

To request an item to order for the Library's collections, please fill out the description below:

DESCRIPTION OF ITEM TO ORDER (or attached a publisher brochure or other information):

Title:

Author (Last name, first name): ___

Author (Last name, first name):

Publisher:

Edition:

Date:

Price:

ISBN or ISSN: ___

ISBN or ISSN:

Please check : ☐ Book ☐ Serial/Journal ☐ Audiovisual

No. of copies: ___

No. of copies:

Other: ___

Other:

REQUESTOR (the following is required):

Name: ___

Name:

Dept.:

Phone Number: ___

Phone Number:

Email Address:

Is This Item an Priority? ☐Yes ☐No

If yes, please state date needed:_____

Is This Item an Priority? Yes No If yes, please state date needed:__________________

For Reserve? ☐ Yes ☐ No

state

date

For Specific Collection? ___

For Specific Collection? _________________________

Notify when cataloged?

Notify when cataloged?_________________________

You may complete this form on-line or print it out and give it to a staff member at the Reference Desk, who will then forward this form to the Head of Collection Management Services.

To call regarding the status of a requested item, please call (502) 597-6881.