Materials Purchase Consideration Form – Springfield City Library

Name *

First

Last

Email *

Phone *

Library Card Number *

Intended Audience

Type Of Material *

Title *

Author

Other information (ISBN if known, type of material if “other” was selected, language, specific format such as CD or Playaway, publisher, etc. – anything that would help us identify the correct item)

Other comments about your request

If the Library purchases your suggestion, would you like it held for you? *

Yes
No

If yes, where would you like to pick it up?

If the Library does not purchase your suggestion, would you like us to try to get it for you from another library? *

Yes
No