Please request material at least one week in advance. Specific item requests are welcome, but the library may have other materials on your subject that would be useful to you!

Name
School
Phone Number
Email Address
Grade Level

Description of Assignment (please be specific):

Specific Titles (please list below):
Have you checked the online catalog to see if we own these titles?
Yes   No

Are these materials new?
Yes   No

If not, can we substitute other materials on the subject?
Yes   No

Dates Needed:


Do you want to reserve this material to be used by your students at the library, or do you wish to pick up these materials?
Reserve    Pick-up

Library Card Number
Pickup Date:
Which branch would like this item to be purchased for?		Newton Claremont Conover Maiden Sherrills Ford Southwest St Stephens

Thank you for using the library!