Item Information:

Format:  Book      Video      Other

Title:      ISBN#: 

Author/Editor:       Publisher: 

Date of Publication:       Price:      Edition: (Note: The library will order the

                                                                                                                                           latest edition unless an explanation about the need for a

                                                                                                                                           specific older edition is included in the comments section

                                                                                                                                           below.)

Personal Information:

Name:       Dept. or area (if applies):

Patron Status: Faculty     Staff     OCTC Student     Community User

Email address:      Phone Number: 

Additional Information possibly needed:

    Order with the next book order            OR            Rush order

Comments: