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### Paul G. Blazer Library Kentucky State University Collection Management Services

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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): ___

Publisher:

Edition:

Date:

Price:

ISBN or ISSN: ___

Please check : ☐ Book ☐ Serial/Journal ☐ Audiovisual

No. of copies: ___

Other: ___

## REQUESTOR (the following is required):

Name: ___

Dept.:

Phone Number: ___

Email Address:

Is This Item an Priority? ☐Yes ☐No

If yes, please state date needed:_____

For Reserve? ☐ Yes ☐ No

For Specific Collection? ___

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.