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  4000 East 30th Ave. Eugene, OR 97405  (541) 463-5220  
Purchase Request Form
 
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If you'd like the Library to purchase a book, newspaper, journal, video, etc. fill out the form below with the title, author, publication information, and why you think we should purchase it. Please provide as much information as possible to assist us in finding the correct material.

Material type
Book
Video
Audio/CD
Online database
Journal/Newspaper
Other (please specify)  

Title

Author/Editor/Artist (last, first)

Publisher

Date of publication

ISBN or ISSN number

I think that the Library should purchase this item because..

Special instructions

Your name: *required

Status *required
Student
Faculty
Staff
Other (please specify)  

Phone number: -

Email address:

Department/Major:

If we purchase the item, would you like us to notify you? Yes No (if yes, you must provide an email address or phone number above)

New: Enter the numbers you see below. This helps prevent automatic programs from sending spam.

validation image
or
 audio listen (new window)

Enter Digits:

 

  
     
 
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Lane Community College Library
4000 E 30th - 2nd floor, Center Bldg
Please direct comments about this site to library@lanecc.edu
Revised 1/17/07 (lg)
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