Pikeville College - Library Services

 
 

Purchase Request Form

Please completely fill out the form below. Click “Submit” at the bottom of the page to submit your request. Click “Clear” at the bottom of the page to clear the form and start over.

Personal information
Name:

E-mail address:

Telephone number:

Classification:



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Affiliation:



Media information
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Title:

Author or Director:

Publisher or Producer:

Publication or Production date:

ISSN/ISBN:
Enter the ISSN/ISBN if you know it.

Proposed use:






Urgency of need:




Comments:

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