APPENDIX A: Purchase Request Form
East Lansing Public Library
Your request will be considered under the selection criteria of ELPL’s Collection Management Policy.
Date _______________________________
Author ______________________________________________________________
Title ________________________________________________________________
This is: Fiction ______ Non-Fiction ______ Subject _____________________
Age Level: Preschool______ Grade School______ High School______ Adult ______
Format: Book______ Magazine______ DVD______ Book on CD______
Music CD______
Other_________________________________________________________________
How was this brought to your attention?
______________________________________________________________________
Filling out the following is optional:
Your Name ___________________________________________________________
Your Library Card #: 2-5935- _____________________________________________
Your Address _________________________________________________________
City __________________________________ Zip __________________
Your Phone # __________________________________________
Additional Notes:
The following services are available for holders of a valid ELPL library card:
_____ If this requested material is purchased, I wish to be notified when it is available for check out.
_____ If this requested material is NOT purchased, I wish to be notified of other ways I may obtain this material.
