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2. You can also place purchase requests directly through your account in our catalog!
4. RETURN TO
   LIBRARY HOME PAGE
6. Your Name:*
8. Your email address or phone number:*
10. Your Library Card Number:*
12. Requested Title:*
14. Author/performer:
16. ISBN:
18. Publisher:
20. Date
    Date
22. Format:*
    (Book, CD, DVD, etc.)
24. Additional notes about the request:
26. Would you like this title put on reserve for you, if it is purchased?*

    1. Yes
    2. No
28. Pick-up Location:

    1. Main Branch
    2. Penacook Branch
    3. Heights Branch
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

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32. Submit

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