Appendix 2. Suggestion for Materials Purchase Form

Please print out and complete. Return to any Springfield City Library branch.

If you wish to request materials online, please use our ASKALIBRARIAN e-mail service.

SPRINGFIELD CITY LIBRARY

Suggestion for Materials Purchase

Date___________________ Library _____________________

The format of the material I'm suggesting for purchase is (circle one): Book / Large Print Book / Music CD / Spoken Cassette / Spoken CD / VHS Tape / DVD / Other (specify):

Title: _______________________________________________________________

Author/Artist: ________________________________________________________

Any other specifics about the item (subject, ISBN number, etc.) _____________________

Where did you hear about this item? Why do you think the library should purchase it?

___________________________________________________________________

_____________________________________________________________

Would you like this item held for you? _____

Would you like us to contact you regarding this request? ________

If you answer “yes” to either question, please provide your contact information:

Name: ______________________________________________________________

Phone and/or e-mail address: ______________________________________________