Book Purchase Request Form

For Program Staff Use only. Please fill out the form below to request purchases of books and other materials for the Local Hazardous Waste Management Program.

Use the document delivery request form to ask us to check out a book from local libraries for you.

Once an item is purchased and received, it will be cataloged and then be checked out to you.

Your contact information

Requested by:

Type of item

Author

,
Last name,

First name/initial

Title

Publisher

ISBN

Year

Edition

Cost

Where did you see this cited?

Briefly state why you think this book is needed (project, workgroup)

How soon do you need this?

(mm/dd/yy)
We will try to place orders every two weeks, but if this is a rush, let us know.

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