Request Materials
If you would like to request materials for the Library District to purchase, please fill out the following form as completely as possible. Please note that you are limited to 5 pending requests at a time. If you currently have more than 5 requests pending, we will address your requests according to the date they were placed. ***We will do our best to get items to you promptly.***
Today's Date
Today's Date:
*
Borrower Information:
Full Name
*
First Name
Last Name
Library Card Number
*
This number needs to match your name in our system or your request may be delayed.
Phone Number
*
-
Area Code
Phone Number
Do you have an email address? (to facilitate contact in case of questions or concerns about your request)
*
Yes
No
If yes, then please enter e-mail here:
Pickup Location
*
Select One
Cedaredge Library
Crawford Library
Delta Library
Hotchkiss Library
Paonia Library
Request:
Media Type
*
Select One
Book
Movie/DVD
Large Print Book
Audiobook
EBook for OverDrive
EAudiobook for OverDrive
Music/CD
Magazine
Language
*
Select One
English
Spanish
Other
If electronic version is not available, will you accept a print copy?
*
Yes
No
Item Title
*
Item Subtitle
Series/Volume
Author
ISBN
Publisher
Year of Publication
Additional Information
Submit
Should be Empty: