ZION-BENTON PUBLIC LIBRARY DISTRICT
Purchase Request - Use this form to request that the library purchase a specific item for the youth services collection.
Your Name (first and last): *
Item Type (select one): *	Book CD DVD Audiobook Playaway Magazine Other
If Item Type Other, explain:
Author/Artist: *
Title: *
Have you read, viewed, or heard this title? *	Yes No
How did you learn about this title? *
If purchased, do you want this item reserved for you? *	Yes No
If yes, enter your library bar code number (14 digits):
Occasionally, the publication of a book is cancelled. For a variety of reasons, the book simply does not get published, even if there has been advance advertising of it in journals and magazines. We will let you know if there is a problem with the publication of a forthcoming book.