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MONTGOMERY COLLEGE LIBRARIES
BOOK/VIDEO REQUEST FORM

Faculty may submit their requests by entering the order information below and sending a completed form 
to the librarian. For more information or comments contact:

    In Germantown, call or e-mail Nancy Nyland, 240-567-7854
    In Rockville, call or e-mail Beth Thoms, 240-567-7128 
    In Takoma Park, call or e-mail Mark Miller, 240-567-1538

 A fully completed form is necessary to consider your request.

* Indicates Required Field

REQUESTOR INFORMATION
*NAME OF THE
  REQUESTOR:		    
  DATE REQUESTED:    
*DEPARTMENT:    
*PHONE NUMBER:    
*E-MAIL ADDRESS:    
  
ORDER INFORMATION
*TITLE:    
  AUTHOR:    
  DATE OF PUBLICATION:    
  PUBLISHER:    
  EDITION:      
  VOLUME:    
  ISBN NUMBER:    
*MATERIAL TYPE:    
DO YOU WANT TO BE NOTIFIED WHEN ITEM COMES IN?    
ADDITIONAL INFORMATION OR COMMENTS:

   


Last updated: 3/15/05 [bsb]

Created:  08/28/02 [ac]