Your Name
Library Card Number
Address
Street Address
City
State
Zip
Email
Phone Number
Which branch do you want this item to be delivered to?
Claremont
Conover
Maiden
Newton
Sherrills Ford
St. Stephens
Southwest
Only if library staff helped you with this request, enter staff initials here
Is this a book request?
Yes
No
Book Request Information
Title Requested
Author
Edition
Date of Publication
Publisher
ISBN
Is this an article request?
Yes
No
Article Request Information
Magazine or Newspaper Title
Article Title
Author
ISSN
Volume Number
Issue Number
Date
Page Numbers
Maximum amount you are willing to pay for photocopies?
Is this a DVD request?
Yes
No
DVD Request Information
Title Requested
If there is more than one version of this, describe the one you want (actors, date).
Submit