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If you would like to order a video, CD, or other type of media
for the library to purchase, please fill out the form below.
Please include your name, email address, department, telephone
number, and name of college.
Title
of Media:
Publisher/Distributor
Name and Address:
Price:
Format:
If Known:
Length
of Video (specify in hours and minutes):
Performer:
Narrator:
Year:
Your Name:
(First and Last)
Department
and/or College:
Phone
Number (with Area Code):
Email
Address:
Is this
media title being recommended for a particular course?
If Yes,
please list the Name and course number of the course:
Any Additional
Comments or Suggestions?
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