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New Materials Request Form

Request Information  (Items in bold are required.)
Author	Title

Publisher	ISBN

Pub. Year	Type of Material	Price	Date Requested
	Please Choose Book Visual Material (DVD/VHS) Audio Book Music CD Computer Program

Publication Place	Edition or Series	Volume(s)	# of Copies
			One Two

Requested by	Status	For Dept.
	--Select-- Faculty Staff Student	--Select-- BAH HSS SME Administration Not Applicable

CVCC Email Address                                     Do you wish to be notified when the item is processed?
	Yes No

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