Video/DVD Purchase or Preview Form

If you are not the chair or designated bibliographer of your department, your request will be sent to that person for approval before we process the order.
Before requesting, be sure to check CLICnet to make sure we don't already own this item.

Requested By

Name:*

Email:*

Department:*

Department Chair:

I wish to:

	Purchase Video
	Preview Video

Video/DVD Information:

Title:*

Director/Producer:*

Any distinguishing features (actors, plot summary, themes, etc.)

Format:

	VHS
	DVD

ISBN:

Year of production:

Price (Optional):

Comments

Library Hours